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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 or Style 3?  
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**
$49.00 Each
Add $10.00 Shipping and Handling for one broom.
and $4.00 for each additional broom.

Total Enclosed:_______________
Send Check or Money Order with your handles and this completed Order Form to:
Warren Olney
US Mail:
P.O. Box 1182
Grants Pass, OR 97528
UPS/FedEx:
1151 Grandview Ave
Grants Pass, OR 97527
(541) 474-3575
**Prices good through June 30, 2009.