Order Form

1. Print and complete this form

2. Enclose a check or money order payable to: 

           Mountain Thyme Productions

3. Mail the form and payment to:

           Mountain Thyme Productions

           Rt 1, Box 132

           Liberty, West Virginia 25124  U.S.A.

Deliver to:

 

Name: ______________________________________

 

Street:______________________________________

 

City, State, Zip_______________________________

 

Phone*:_____________________________________

 

E-Mail*:_____________________________________

*In case we need to contact you about your order.

 

Is this a gift?

Please complete this card and we will include it with the order.

 

To:________________________________________

 

From:______________________________________

 

Message:____________________________________

Side bar graphic

A Smile at the Door

Quantity

Price

$15.00

Total

$

West Virginia Chose Me

Quantity

Price

$15.00

Total

$

She Moved Through the Fair

Quantity

Price

$15.00

Total

$

TOTAL ORDER

 

 

$