Grandpa's Workshop: Order Form

(NAME PUZZLES ONLY)

INSTRUCTIONS:

Enter your information:

	Ordered By:	Ship To:
Name:
Address:
City:
State:
Zip:
Phone:
Email:

Enter the name to be on the puzzle (10 letters max.):
(Please put one capital letter per box.)

Letters in Puzzle:

Count the letters in the name entered in step 1 and complete the following:

Calculate Cost:
Puzzle with from 1 to 5 letters	$16.00
Number of additional letters X $1.75	$
U.S. Postage & Handling $4.50 (Additional puzzles to the same address $2.50 each)	$
Subtotal	$
Sales Tax on Subtotal (NY State deliveries only)	$
Total Amount Due	$

Color Choice (choose one):

Choose Colors:
Bold Colors (Red, Orange, Yellow, Green, Blue, and Purple)
Pastel Colors (Light Green, Light Blue, Pink, Yellow, Peach, and Violet)
Mix of Both (Includes Bold and Pastel Colors)

Please mail this completed form with check or money order payable to:

David J. Moses,
1037 Chapelhill Dr.,
Victor, NY 14564.

Sorry, I can not accept credit cards.
Please allow 2 to 3 weeks for delivery. Christmas orders must be postmarked prior to December 5th. You can contact Grandpa's Workshop by E-mail at dmoses@linkny.com

ALL PUZZLES COME WITH A MONEY-BACK GUARANTEE IF NOT COMPLETELY SATISFIED.