HOBI Cookie Molds, P O Box 25,
Belleville, IL 62222-0025
Website: www.cookiemold.com
Phone: 618-277-5504
Please list your phone or e-mail should
it be necessary to contact you.
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Ship to: [may attach address label]
Name_______________________________
Address___________ 618-__________________
City_________________________ State______________ Zip______________
Quantity Item No. Description $ each Total
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[______] One free 16 Page Recipe/Instruction Booklet
[______] Additional recipe booklets @.50 ea
PLEASE CHECK ANY OF THE FOLLOWING THAT APPLY:
[ ] FIRST TIME I've ordered [ ] I'm a RETURNING CUSTOMER
Shipping to USA:
Merchandise Total LESS than $120. ADD $9.
$120-$250, ADD $13. . >>>>>>>>>> Merchandise Total: ______
$250-$400, ADD $15. Sales Tax 8.1% (IL Residents Only): ______
Over $400, add $20.50 *Shipping Charges: ______
CANADA: Add $4. to above shipping costs
Use money order or check in US Dollars TOTAL ENCLOSED: ______