ORDER FORM
prices include shipping



Diecut Basset cards      ____ @ $3.00 ea Total _______________

Basset card w/
Raleigh quote               _____@ $3.00 ea  Total_______________


Basset bookmarks        _____ @ $3.00 ea   Total_______________


Basset clipmarks          _____ @ $3.50 ea  Total_______________


                                  Grand total_______________




Name      ______________________________________

Address     ______________________________________

City  _____________________________________

State _________    Zip     _____________________


email_________________________________________




Make checks payable to Mid-America Basset Rescue

Please send printed order form & payment to:

Stacie Raymond
1806 E. Thomas Hill Rd.
Sturgeon, MO 65284