HeartSong Primitives - Printable Order Form
Print this form for easy mail order. Complete your order, send along with your check or  money order to:

   HeartSong Primitives
   P.O. Box 1411
   Westfield, MA 01086-1411
QTY ITEM   NAME PRICE TOTALS
    $ $ 
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    $ $ 
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MA residents add 5% sales  tax -                              
Orders will be shipped via Priority U.S. Mail or UPS.
Please allow 2-3 weeks for delivery.
Under $20.00 add $5.00
$21.00-$50.00 add $7.00
$51.00-$75.00 add $8.00
$76.00-$100.00 add $10.00
Over $100.00 please email for shipping rate.
Canada: Add $6.00 to S&H rates; payable in U.S. funds.
Shipping & Handling  
TOTAL ORDER  
CUSTOMER INFORMATION
Customer Name
Address
City                                                           State                      Zip Code
Home Phone #                                Work Phone #                                    Email Address