Order Form

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

MAIL ORDERS TO: Thistledew Acres PO Box 134 Marengo, OH 43334

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Name: _____________________________ Address: __________________________________

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

Ohio residents only: County ___________________________ County Sales Tax Rate ______%

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					$35.00
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	East of Mississippi	West of Mississippi	Subtotal of Merchandise $______________
$15.00 -- $25.00	$ 9.50	$9.50	Subtotal of Merchandise $______________
$25.01 -- $50.00	$15.00	$18.00	Shipping & Handling (see chart) $_____________
$50.01 -- $75.00	$16.00	$19.00	Subtotal for Sales Tax Purposes $_____________ Sales Tax, Ohio residents, only use your county’s sales tax rate $_____________
$75.01 -- $100.00	$17.00	$20.00
$100.01 -- $125.00	$18.00	$21.00	Total Amount Due $_____________
$125.01 -- $150.00	$19.00	$22.00	Total Amount Due $_____________
$150.01 -- $175.00	$20.00	$23.00
$175.01 -- $200.00	$21.00	$24.00
$200.01 and above	12% of the order	14% of the order

METHODS OF PAYMENT:

1) PERSONAL CHECKS made payable to: THISTLEDEW ACRES

2) CREDIT CARDS: American Express, Discover, Mastercard, Visa
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CREDIT CARD INFORMATION:

Card #:__________________________________________ Expiration Date:________

CVC #: __________ Zip Code: _____________ Signature:___________________________
Card Verification Code:
3-digit number on the back)

*The credit card company requires the complete billing address, where your credit card statement is sent.

STATEMENT BILLING ADDRESS:

Street: ________________________________, City ___________________, State _______, Zip Code: _________

Questions? By Phone: 419-864-1736 Email: dulcimerbaglady@yahoo.com

Last Updated: August 23, 2023

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