Nordic Needle's Order Form

Gold Line

If you are interested in placing an order from Nordic Needle, please print
and fill out the order form below and mail it to:  Nordic Needle, 1314 
Gateway Dr., Fargo, ND 58103.
Date _______  Name _______________________________________________________
Address___________________________________________________________________
(complete home mailing address)
Your Customer Number (found above your name on back of catalog)___________
Home Phone  (    )_________________  Work Phone  (    )___________________
Ship to: _________________________________________________________________
(if different)
         _________________________________________________________________
         _________________________________________________________________
My "ship to" address is a ___residential  ___business.

Item No. Quantity Description (color no., size, name,
fabric count and name)		 Price
Each 		Amount





















































































Shipping Information

With you order, please enclose a check to
cover merchandise and shipping charges as
listed below, or, if you prefer, charge
your purchases on VISA, MasterCard or
Discover.

*Postage & Handling
up to $3.99 $2.99
from $4 to $9.99 $4.99
from $10 to $19.99 $5.99
from $20 to $29.99 $6.99
from $30 to $39.99 $7.99
from $40 to $49.99 $8.99
from $50 and more $9.99
Canadian orders add $3.00 extra postage
and send U.S. currency only. (U.S. money
order or your personal check with "U.S.
Funds" written next to amount.)

Foreign order: least expensive actual shipping charges plus handling.

 Merchandise Total
Postage and Handling*
Subtotal
ND Residents add Current ND
Sales Tax to Subtotal
Canadian Orders add $3.00
Invoice #_____________
Previous Balance Due
Credit Balance subtract
Invoice #_____________
Rush Order add $5.00
TOTAL 
____ Check enclosed 
____ Charge to VISA  MasterCard  Discover   Account #____________________
                      (circle one) 
Expiration Date _______________  Signature ______________________________ 

We'll be happy to send a free catalog to a needle-work friend or relative.
Simply fill in their name and address below.
Name______________________________       Name______________________________
Address___________________________       Address___________________________
City______________________________       City______________________________
State______________  Zip__________       State______________  Zip__________