Order Form 
In Stitches Center
for Liturgical Art
Order Form
Name
_________________________________________
Address _______________________________________
City
State Zip ___________________________________
Telephone ~ Work ____ _____ ______ Home ____ _____ ________
If this order is a gift, please check here and indicate a confidential phone number where we
might reach you if necessary:_____ Phone: ________________
Email: ____________________________________________
Shipping address, if different from above
Name __________________________________________
Address ________________________________________
City State Zip____________________________________
Method
of Payment: ____ Check ____Money Order ____ VISA
____Master/Card _____Discover
Card
No. ______________________________________________
Expiration Date: __________
Three digit security code __________
Any
Special Instructions ___________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Item Number
Description Price
_______________ ___________________ ______________
_______________ ___________________ ______________
_______________ ___________________ ______________
Approximate Height of Person Wearing ________________
Need by Date ____________________________________
Shipping
Cost
DOLLS: 1 Doll = $9 2-3 Dolls = $12 4-6 Dolls = $15
STOLES, PARAMENTS AND BANNERS:
Up to $200= $9 $201-500=$12 $501-800 = $15 $801-$1000 = $18
Over $1000, Call for assistance.
Sub Total _______________
Shipping Cost ___________________
Total ________________
In
Stitches Center for the Liturgical Arts
17092
Sunset Drive
Chagrin Falls OH 44023.
Fax 888.691.1723 Email order@institchescenter.com
Phone 888.683.7074 or 440.543.7128