Mother Earth's Mail Order Form (All Prices are in US Funds)

Item ME-1    Pattern $9.00       Quantity: ____ Total:_______
Item ME-2    Pattern $9.00       Quantity: ____ Total:_______
Item ME-3    Pattern $9.00       Quantity: ____ Total:_______
Item ME-4    Pattern $9.00       Quantity: ____ Total:_______
Item ME-5    Pattern $9.00       Quantity: ____ Total:_______
Item ME-6    Pattern $9.00       Quantity: ____ Total:_______
Item ME-7    Pattern $9.00       Quantity: ____ Total:_______
Item ME-8    Pattern $9.00       Quantity: ____ Total:_______
Item ME-9    Pattern $9.00       Quantity: ____ Total:_______
Item ME-10   Pattern $12.00      Quantity: ____ Total:_______
Item ME-11   Pattern $9.00       Quantity: ____ Total:_______
Item ME-12   Pattern $9.00       Quantity: ____ Total:_______
Item ME-13   Pattern $9.00       Quantity: ____ Total:_______
Item ME-14   Pattern: $9.50      Quantity: ____ Total:_______
Item ME-15   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-16   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-17   Pattern: $10.00     Quantity: ____ Total:_______
Item ME-18   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-19   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-20   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-21   Pattern: $9.50      Quantity: ____ Total:_______
Item ME-22   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-23   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-24   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-25   Pattern: $12.00     Quantity: ____ Total:_______
Item ME-26   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-27   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-28   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-29   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-30   Pattern: $10.50     Quantity: ____ Total:_______
Item ME-31   Pattern: $10.50     Quantity: ____ Total:_______
Item ME-32   Pattern: $9.50      Quantity: ____ Total:_______
Item ME-33   Pattern: $10.50     Quantity: ____ Total:_______
Item ME-34   Pattern: $10.50     Quantity: ____ Total:_______
Item ME-36   Pattern: $9.50      Quantity: ____ Total:_______
Item ME-37   Pattern: $9.00      Quantity: ____ Total:_______
Item ME-38   Pattern: $9.50      Quantity: ____ Total:_______
Item ME-39   Pattern: $10.00     Quantity: ____ Total:_______
Item ME-40   Pattern: $10.00     Quantity: ____ Total:_______
Item ME-41   Pattern: $9.50      Quantity: ____ Total:_______
Item ME-42   Pattern: $9.50      Quantity: ____ Total:_______
Item ME-43   Pattern: $11.50     Quantity: ____ Total:_______
Item ME-44   Pattern: $9.50      Quantity: ____ Total:_______

Please contact us for prices on finished products.



                              Sub Total:           _______
Shipping & Handling (10% / 15% International):     _______

                                           Total:  _______

Name______________________________________________

Address___________________________________________

City___________________State/Prov:________________

Country_______________Postal/Zip Code_____________

Phone:________________ Email:_____________________


Payment: __Check   __Money Order

         __Visa    __Mastercard

Credit Card #_________________________Expires______

Signature__________________________________________


Please Mail this form to:

Mother Earth & Me Design Studio
PMB #1141
1733 H Street
Suite 330/Blaine, WA, USA
98230-5106