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	To purchase the item(s) via a check or U.S. money order, print out this form, and fill in the information. Then mail to: Lily Imports, LLC 105 Middle Rd. Wilmington, Delaware 19809-2009
	(please print): Name ______________________________________________________ Address __________________________________________________ (Apt. No.) __________________________ City ______________________________  State/Province _____________ Zip (Postal) Code _____________________________ I would like to purchase the following item(s):
	Oriental Cloud purse Order No. 8 Quantity ______ Price: $105 Sub total ________		Pomegranate purse Order No. 20 Quantity ______ Price: $110 Sub total ________		Oriental Fish purse Order No. 7 Quantity ______ Price: $75 Sub total ________
	Oriental Lily purse Order No. 23 Quantity ______ Price: $85 Sub total ________		Scandinavian Folk purse Order No. 9 Quantity ______ Price: $110 Sub total ________		Russian Wheat purse Order No. 10 Quantity ______ Price: $80 Sub total ________
	Russian Pysanky purse: Burgundy, Gold & Black Order No. 22 Quantity ______ Price: $65 Sub total ________		Russian Pysanky Puzzle purse Order No. 19 Quantity ______ Price: $70 Sub total ________		Russian Pysanky purse: Red, Silver & Black Order No. 21 Quantity ______ Price: $65 Sub total ________
	SUB TOTAL OF ALL PURSES $____________ SHIPPING FEE* $_____________ TOTAL $______________ * Below is a guide to figure out the Shipping Fee: If Sub Total is between $.01 - $110.99, the shipping fee is: $5.50 If Sub Total is between $111.00 - $350.99, the shipping fee is: $7.50 If Sub Total is between $351.00 - $650.99, the shipping fee is: $15.00 If Sub Total is between $651.00 - $950.99, the shipping fee is: $20.00 If Sub Total is $951.00 and up, the shipping fee is: $25.00 10% donated to various Orthodox Christian charities. Return to home page