Your Name

Your Shop Name

Your Phone Number

Your Email

Your Fax Number

Website

Address

City

State

—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Country

AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaragua@#!*%NigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Your Zip/Postal Code:

Is your business:

Brick and MortarOnlineBothOther

If you answered "Other" on the previous question, what type of business are you?

How long have you been in business?

Less than 1 year1-2 years3-5 yearsMore than 5 years

What is your Federal Tax ID Number?

Please tell me about your business and where you will be selling Prairie Grass Patterns.

What would you like to order? (Please remember, initial orders must total over $50, which is roughly 12 patterns.)

Dancing in the Wind 0123456789101112131415161718192021222324

Grammy's Scrap Basket 0123456789101112131415161718192021222324

Little Lanterns 0123456789101112131415161718192021222324

Prep School Knockout 0123456789101112131415161718192021222324

He Zigs She Zags 0123456789101112131415161718192021222324

Scrap Basket {Remix} 0123456789101112131415161718192021222324

Petite Playtime 0123456789101112131415161718192021222324

Coming Up Clovers 0123456789101112131415161718192021222324

Simply Seasonal 0123456789101112131415161718192021222324

Home for Harvest 0123456789101112131415161718192021222324

Russian Rubix 0123456789101112131415161718192021222324

Savvy Satchel 0123456789101112131415161718192021222324

Big City 0123456789101112131415161718192021222324

Summer Crush 0123456789101112131415161718192021222324

Two for the Show 0123456789101112131415161718192021222324

Parcheesi 0123456789101112131415161718192021222324

Sweetie Pie 0123456789101112131415161718192021222324

To pay for your first order, would you prefer I send you an invoice via Paypal, and you can pay securely online by following the link, or would you prefer I call you to collect your credit card information?

Paypal Invoicing, please.Call me, please.

If you prefer a phone call, what time of day is best? What is the best phone number to reach you?

Any thing else I need to know? (If you have a UPS account and would like me to bill your shipping directly through UPS, this would be a great place to say so.)

Please type the characters you see below.

Thanks for your order!

Δ