PLEASE PRINT THIS FORM:
Complete and mail this form with your payment to:
Work At Home Companies Online
633 S Main Ave Apt. 1
Sioux Falls, SD 57104

Please be sure to print your email address clearly in all capital letters and double-check it.  
All orders are sent by email unless otherwise indicated.

Note:  If you are ordering the Cross Stitch program and using a free email account (i.e. Yahoo, Hotmail, MSN), your email account will not accept the Cross Stitch program.  This part of your order must be sent to you by Postal Mail on a CD.  The shipping and handling charge for USA is $4.00 and Canada is $5.00, payable in advance.  Other countries please email us with your Postal Address for the shipping and handling charge before mailing your order.  Although it is not recommended because of the unnecessary additional cost to you, you may elect to receive any of our products on CD by adding shipping and handling charges.

Your EMAIL ADDRESS:  

_________________________________________________________ 

@ ______________________________________________________

PLEASE PRINT CLEARLY
Product Number Product Description

$    Amount

HME       
HME       
HME       
HME       
HME       
HME       
HME       
HME       
HME       
HME       
HME       
HME       
HME       
HME       
HME       
 

Shipping and Handling (if applicable)

_____________
 

TOTAL

$

Please double-check your order total.  Be sure the correct payment amount is included with your order form.
Copyright 2006 Work At Home Companies

01/04/2009

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