Hugs and Stitches™
2346 O'Brien Road, SW
Grand Rapids, MI  49544
(616) 791-7161 * Toll Free 877-327-5971
Phone and Fax Number

~Please completely fill out the information below~

~*~Please note: Shipping charges will be added after your order has been packed and weighed~*~

**Billing Address & Payment Information**


If paying by credit card the address listed here must match the address on your credit card statement

Name:  
Address:  
Address:  
State, Zip:  
Phone Number:  
E-Mail:  
Payment (Circle): Visa/ MC   Discover   AMX   COD   MoneyOrder  
Credit Card # :  
Expiration Date:  
CVV2# (3 digit # on back):  
Signature:  

**Shipping Address**

If different then billing address

Name:  
Address:  
Address:  
State, Zip:  

~*~Please note: Shipping charges will be added after your order has been packed and weighed~*~

!!~Do NOT Send Us A Money Order Until We Have Notified You Of Your Order Total With Shipping...Call Us First So We Can Calculate Your Shipping Charges~!!


~*~Please Be Sure To Include the Item Number & Quantity For Each Item Ordered~*~


All Michigan Orders Must Include 6% Sales Tax

Quantity

Item Number

Description

Price Each

Total

         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
   

Sub Total

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Michigan Residents add 6% Sales Tax

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Order Sub Total BEFORE Shipping

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(o: Thank you for your order, we will e-mail you your order total with shipping and the date your order will ship :o)