Anne Marie Davis Mail Order Form

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To order by mail, print this form (2 pages), fill in the pertinent information
and mail it with your check to:

Good Medicine Designs
1109 Millridge Drive
Greensboro, NC 27407

Qty	Item #	Item Description	Price
	PI-0001	Don't Wait To Dance Pillow	25.00
	PI-0002	Rough Weather Friends Pillow	25.00
	DM-0001	Love Your Creechers Doormat	40.00
	DM-0002	Rough Weather Friends Doormat	40.00
	WH-0001	Don't Wait To Dance Wallhanging	65.00
	PR-0001	Love Your Creechers Print	19.95
	PR-0002	Shimi Goes To Kitty Heaven Print	19.95
	PR-0003	Rough Weather Friends Print	19.95
	PR-0004	Wilbur The Pig Of Peace Print	19.95
	PR-0005	Randolph Shows Drucilla The Moon Print	19.95
	PR-0006	Snorkeling Kitties Print	19.95
	PR-0007	Pound Dog Print	19.95
	NC-0001	Rough Weather Friends Notecard	8.00
	NC-0002	Love Your Creechers Notecard	8.00
	NC-0003	Snorkeling Kitties Notecard	8.00
	NC-0004	Shimi Goes To Kitty Heaven Notecard	8.00
	TS-0001	Don't Wait to Dance T-Shirt	8.00
		SUB-TOTAL
		SHIPPING $3 per item
		NC residents add 7%
		GRAND TOTAL

Make checks payable to : Good Medicine Designs

Name:	___________________________________
Address:	___________________________________
City:	___________________________________
State:	___________________________________
Zip:	___________________________________
E-mail:	___________________________________
Phone:	___________________________________

Thanks for shopping with us !