Heartstring Treasures
- Mail Order Form -

Print this form for easy mail ordering.
Complete your order and send along with your check or Credit Card Information to:

Heartstring Treasures
1400 Colorado St. #C
Boulder City, NV  89005
(702) 294-4920
patti@heartstringtreasures.com
QTY PATTERN NAME & # PRICE TOTALS
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
NV Residents add 7.75% tax -                        
Shipping and Handling :
Please email us for shipping charges. 		Shipping & Handling  
TOTAL ORDER  
CUSTOMER INFORMATION
Customer Name
Address
City                                                                            State                                                           Zip Code
Home Phone #                                                             Work Phone #
Email Address
CREDIT CARD INFORMATION
Name on Card -
Card Number -
Exp.date                                     CIRCLE ONE:  Visa   MC    Discover
Security Number - (3 digit number on back of card)