Name:________________________________________                    mail to: Kim Bradshaw
Address:_____________________________________                                        P.O. Box 694
City:__________________________________________                                Silsbee, Texas
State:__________________Zip:__________________                                        77656-0694
Country:_____________________________________
E-mail:_______________________________________
Telephone:__________________________________

Shipping address if different from above:

Name:_______________________________________
Address:____________________________________
City:_________________________________________
State:______________________Zip:_____________
Country:____________________________________
Telephone:_________________________________
 

Basket #  Q  Unit Price  Color  Theme  Stain  Quantity x Price
__________  __ ___________   _____   _______   E__D__  ________________
__________  __ ___________   _____   _______   E__D__  ________________
__________  __ ___________   _____   _______   E__D__  ________________
__________  __ ___________   _____   _______   E__D__  ________________
__________  __ ___________   _____   _______   E__D__  ________________
Shipping- Add 10% (minimum $6.00) ___________________________
                                                        Total__________________________

Texas residents may e-mail me if they do not know their sales tax.
Stairstep basket_______6"- $45 ______8"- $55 _______10"-$65
Specify wooden lid type_________Heart______Oval