Vermont H'Art

VERMONT H'ART

P.O. Box 2078

Milton, VT 05468

802-893-1006

To purchase mini-framed prints, teacup pins, please fill in the form and choose one of the following:

- Place your order by phone by calling us at (802) 893-1006 between 9am and 4pm EST Monday through Friday

- Print it and mail it along with a check or money order to
Shanley Triggs
P.O. Box 2078
Milton, VT 05468

make checks payable to: Shanley Triggs

Name:_________________________________________

Street Address:__________________________________

City:___________________ State:______ Zipcode:_____

E-mail:_________________________________________

Phone Number:__________________________________

- For credit card purchases, a phone number is required so we can reach you if there is a problem with the transaction.

Mastercard/Visa:________________________________

Credit Card #:__________________________________

Expiration Date:_________________________________

Signature:______________________________________

Black Framed Mini-Prints: 4x6 - $15.00, 5x7 - $20.00 8x10 - $25.00

Item No. Size Quantity Price

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Teacup Pins: $5.95 per pin

Item No. Quantity Price

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Subtotal:________

Shipping Cost:________

Please add 7% of the total