Order Form

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

Name: __________________________________ Address: _________________________________________

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

County (if Ohio Resident): ___________ _____________ Email: _________________________________________

Description			Quantity	Price	Total
BAGS (Embroidery patch is included)
Single Dulcimer Bag (Circle a color) red blue green black burgundy navy gray purple				$135.00
Double Dulcimer Bag (Circle a color) red blue green black burgundy navy gray purple				$175.00
Tote Bag (Circle a color) red blue green black burgundy navy gray purple				$ 35.00
Music (metal) Stand Bags (Circle a color) red blue green black burgundy navy gray purple				$ 20.00
Optional Back Pack Strap for the single or double dulcimer bag				$ 15.00

INSTRUMENTS and BOOKS
Wooden Spoons ... connected/carrying bag (Circle the wood) walnut cherry				$25.00
Hand Crafted Wooden Music Stand with Cordura® covers** (Circle a color) red blue green black burgundy navy gray purple				$35.00
Wooden Foot stool for “lap” dulcimer players				$30.00
Little Black Whistle (key of D)				$ 7.50
Whistle pack with CD (Walton whistle & instruction book &cd)				$22.00
Soodlum's Irish Tin Whistle Tutor (Volume 1)				$8.00
Soodlum's Irish Tin Whistle Tutor (Volume 2)				$8.00
Waltons Irish Whistle Book				$7.50

ACCESSORIES
Herdim triangle picks, 3 in 1 (Circle a color) red blue yellow				$ .85
Herdim teardrop picks, short (Circle a color) red blue yellow				$ .85
Herdim teardrop picks, medium (Circle a color) red yellow				$ .85
Herdim triangle picks, same on all points (Circle a color) red blue				$ .85
Herdim small triangle, rounded point (Circle a color) red blue yellow				$ .85
Blue Lion loop-end strings (set of 2-12s, 1-14, 1-24)				$5.00
Riverlark loop-end strings (set of. 2-12s, 1-14, 1-24)				$4.00
Riverlark loop-end squeak less strings (set of. 2-12s, 1-14, 1-24)				$5.00
Wooden dulcimer capo				$16.00
Intelle Tuner				$35.00
Krog Acoustic tuner clip				$16.00
See page 2
EMBROIDERY STRAPS and INSTRUMENT PATCHES
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
Autoharp Patch (Circle one) red blue green black burgundy navy gray purple				$5.00
Hammered Dulcimer Patch (Circle one) red blue green black burgundy navy gray purple				$5.00
Mountain Dulcimer Patch (Circle one) red blue green black burgundy navy gray purple				$5.00

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	*Shipping of a single or double bag west of the Mississippi $ 27.50
$25.01 -- $50.00	$10.00	Shipping & Handling (see chart) $_________
$50.01 -- $75.00	$11.00	Subtotal for Sales Tax Purposes $_________
$75.01 -- $100.00	$12.00	Sales Tax, Ohio residents, only use your county’s sales tax rate $_________
$100.01 -- $125.00	$13.00	Sales Tax, Illinois (6.25%) $_________
$125.01 -- $150.00	$14.00	Sales Tax, Indiana (7%) $_________
$150.01 -- $175.00	$15.00	Total Amount Due $_____________
$175.01 -- $200.00	$16.00
$200.01 and above	8% of the order

* A single or double bag is considered an oversize shipment west of the Mississippi.

** Shipping of three or more music stands, allow $5 per stand.

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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:________

Signature:_____________________________________________

Statement Billing Address:

Street: _________________________________, City ___________________, State _______, Zip________________

*The credit card company is now requiring the complete billing address where your credit card statement is sent.
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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: 4/18/08