Ms. Doreen The Historical Seamstress

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Accessories and Sewing Supplies Order Form


I prefer an ordering system with a personal touch. Simply fill out and submit the Order Form below, being sure to leave accurate contact details. Your personal information will be kept strictly confidential.

I will then contact you to confirm your order details, answer any questions you may have, and arrange for payment by check, money order, C.O.D., or major credit card. Please note that New York State Sales Tax and shipping charges will be added to your total.

If you don't wish to place an order at this time, but have questions or comments, please feel free to contact me at any time.

Required Information:

First Name:
Last Name:
Street Address:
Zip Code:
E-mail Address:
Telephone Number
(plus area code):

Purchase Items:
Please list the items you wish to purchase, one per line. Be sure to mention your color choice if there is one given. List quantities in the space provided.

Item 1:qty.
Item 2:qty.
Item 3:qty.
Item 4:qty.
Item 5:qty.
Item 6:qty.
Item 7:qty.
Item 8:qty.
Item 9:qty.
Item 10:qty.

Comments or Special Instructions:
Please list any notes for the seamstress here.

Payment Method:
Please select how you intend to pay for your order.

A personal check
A money order
Cash On Delivery (C.O.D.)
Credit card transaction (taken over the phone)

Submit Your Order:
Click the "Place your order" button to submit your order. If you prefer snail mail, please print this page, fill in the gaps, and mail the completed form to the address below.

Doreen Clark - Historical Seamstress
The Victorian Thimble & Petal
4518 Hindsburg Road
Holley, New York 14470