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ORDER FORM
For Custom Brooms on
Your Forged Handles
NAME:  
ADDRESS: 
 
 
 
TELEPHONE NO: ( _ _ _ )
EMAIL: 

Number of handles you are shipping:  
Do you want your broom to be sewn flat or made round?  
How do you want the broom bottom cut?
flat, angled or rounded, only Styles 2 or 3 can be left uncut. 		 
Overall Length Desired (broom & handle):  
Do you want Style 1, Style 2, Style 3 or Style 4?  
Do you want the broom tied with tan linen or black nylon?  
Additional Information and/or Instruction: 
 
 
 
 
For large or complicated orders, attach seperate instructions directly to your handles that need special attention.

Price
$80.00 Each
Add $20.00 Shipping and Handling
for each broom.

Total Enclosed:_______________
You will need to send Check or Money Order with your handles and this completed Order Form to:
Warren Olney
and please call (541) 441-8037
for shipping address