Order Form     


Name:

Phone Number:

E-Mail Address:

  Please select the type of pattern you would like: 

             Single Pattern – One picture will be converted to a pattern.

             Double Pattern – We will convert two pictures into one pattern.

             Add Text to the Pattern – If you would like text       added to the pattern, please include exactly what you would like added in the box below:

 

            Add a Border to the Pattern –  If you would like a    border added to the pattern, please indicate which       number border you would like.

Border Number:         

Height of Finished Pattern:             inches

  Number of Colors in Pattern:           

Fabric Count (Can be 8, 10, 12, 14, 16, 18, 20, 22, or 24 Count):

Fabric Count:             

Would you like the picture adjusted at all (i.e. Brightened, cropped, background removed)?  If so please specify below:

 

 

 

I would like to pay by:

       Check or Money Order (by mail)

       Pay Pal (If you choose to make your payment by PayPal, additional information will be provided in your confirmation E-Mail.)

 

If you would like to learn more about PayPal, please click on this link.  

https://www.paypal.com/cgi-bin/webscr?cmd=p/ema/index-outside

 

When your order has been received, you will receive a confirmation  E-Mail.

 

E-Mail us at: Patterns@StitchesthatCount.com

We apologize for any inconvenience, however we are having delivery problems with this form, please save and then send your completed form and picture to the above e-mail address.

Thank you.

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Copyright © 1999 [Stitches That Count]. All rights reserved.
Revised: February 15, 2005