Merchandise Order Form ..... Thistledew Acres 
                                                                                       ($15.00 minimum charge order)

Name:  __________________________________      Address:  _________________________________________

City: _________________________   State:  ____    Zip:  ______________    Phone: _______________________          

County (if Ohio Resident): ___________ ­­­­­­­_____________   

Description

Quantity

Price

Total

BAGS  (Embroidery patch is included)

Single Dulcimer Bag
(Circle a color)   red   blue   green   black   navy   purple

 

$135.00

 

Double Dulcimer Bag
(Circle a color)   red   blue   green   black   navy   purple

 

$175.00

 

Bowed Dulcimer Bag
(Circle a color)   red   blue   green   black   navy   purple

 

$175.00

 

Tote Bag
(Circle a color)   red   blue   green   black   navy   purple

 

$ 35.00

 

Tablet Tote Bag
(Circle a color)   red   blue   green   black   navy   purple

 

$30.00

 

Optional Back Pack Strap for the single or double dulcimer bag

 

$ 15.00

 

 

HANDCRAFTED WOODEN ITEMS

Hand Crafted Wooden Music Stand with Cordura® covers**
(Circle a color)   red    blue    green    black    navy    purple

 

$40.00

 

Wooden Foot stool for “lap” dulcimer players

 

$40.00

 

Wooden Mountain Dulcimer Stand  

$55.00

 
Wooden Bowed Dulcimer Stand (includes arm)  

$62.50

 
Wooden Arm (* See Bowed Dulcimer page for details)  

$7.50

 

 

EMBROIDERY STRAPS

Embroidered Dulcimer Strap
(Circle one)  red   blue   green   black   burgundy   navy   gray   purple 

 

$20.00

 

Plain Dulcimer Strap
(Circle one)  red   blue   green   black   burgundy   navy   gray   purple 

 

$17.00

 

 

DOUG'S MUSIC  

"A Little of This and a Little of That" CD by Doug Felt

 

$15.00

 

Tablature Book for Doug's CD, "A Little of This and a Little of That"    

 

$12.50

 

CD & Book Combo - "A little of This and a Little of That" by Doug Felt  

$25.00

 

 

Shipping & Handling Chart (U.S. only)

 

Merchandise Subtotal

Add ... S & H

Subtotal of Merchandise                  $_________

$15.00 -- $25.00

$ 6.00

$25.01 -- $50.00

$12.00

Shipping & Handling (see chart)          $_________ 

$50.01 -- $75.00

$13.00

Subtotal for Sales Tax Purposes      $_________

$75.01 -- $100.00

$14.00

Sales Tax, Ohio residents, only 
use your county’s sales tax rate       $_________
 

$100.01 -- $125.00

$15.00

Sales Tax, Illinois (6.25%)                  $_________

$125.01 -- $150.00

$16.00

Sales Tax, Indiana (7%)                      $_________

$150.01 -- $175.00

$17.00

 

                                                                                               Total  Amount Due           $_____________

 

$175.01 -- $200.00

$18.00

$200.01 and above

10% of the order


METHODS OF PAYMENT:
   
We accept personal checks made payable to:
 Lee Felt    < or >   Visa  or  Mastercard


Credit Card Information:   
   Master Card   <or>  Visa   (circle one)              

Card #:_________________________________________________________    Expiration Date:________ 

 CVC #:  __________ (Card Verification Code: 3-digit number on the back)          

Signature:_____________________________________________

Statement Billing Address:

Street: _________________________________, City ___________________, State _______, Zip________________

*The credit card company requires the complete billing address where your credit card statement is sent. 
*****************************************************************************************************************************
Mail to:     Thistledew Acres       PO Box 134       Marengo, OH  43334

*** If you have any questions, do not hesitate to call #419-864-1736 or click here to email Lee.

 

 

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Last Updated:  December 12, 2015