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Print this order form and mail with Check/Money Order to:

 

Primraggs

Brenda Kirkpatrick

103 West 7th Ave

Indianola, Iowa

50125-3229

 

Email: info@primraggs.com

 

Please Print:

Name:  
Address:  
City:  
State/Zip:  

Email:

 

 

Patterns are $7.00 each

3 or more patterns are $6.00 each.

  

Pattern #

Name of Pattern

Price

     
     
     
     
     
     
     
     
     
     
     
     
     
     

 

Iowa Residents add 6% sales tax:  

 

Total: