Send completed form and money order only (personal checks will be returned) to:

Paisley Merchandising
P.O. Box 1122
Seymour, TN 37865-1122

QUANTITY _________

DESCRIPTION ______________________________________________

SIZE _________________

COST PER ITEM $_____________

Sub Total ___________

Free Shipping Within the United States Only

TN Residents Add 9.25% Sales Tax ___________

Total Amount $___________


Email Address __________________________

Name __________________________________

Street Address _________________________

City State Zip _____________________

Phone (including area code) _____________