Boutique Order Form


 Customer's information
Name:  
Address:  
City:  
State:  
Zip:  
Phone:  
Email:  
 

 Items Ordered
# Description Quantity Price Amount

B Booklet "Your Bichon Frise"
($6.00 for 1, $17.50 for 5, $35.00 for 10, $150 for 50)
     
C    BFCA Illustrated Standard   $10.00  
D    Judging the Bichon Frise (computer CD)   $10.00  
E    Luggage Tag   $10.00  
F    Christmas Ornament   $10.00  
H    BFCA Logo Mouse Pad   $10.00  
I    2011 Boot Scootin T-Shirt   $15.00  
J    4" Planter   $25.00  
K    Sympathy Cards (set of 5)   $20.00  
L    Bichon Napkins (pkg of 50)   $15.00  
O    Just A Note to Say “Hi” or “Thank You” (set of 7)   $15.00  
P    Special Occasion Note Cards
(set of 5, can also be framed)
  $15.00  
Q    Prints of “She’s Got The Look” or “Showing In Style”
(circle one)
  $30.00  

Domestic U.S. Shipping rates (shipped via U.S. Postal Service): Sub-Total: $
$6 and under,  no charge  ||  between $6.01 and $15.00,  $2.50
between $15.01 and $49.00,  $3.50  ||  over $50.00,  $8.00
Shipping: $
Email or call Kathleen if you need a quote for international shipping. Total Amount Enclosed: $
 

Mail Completed Form and Payment
BEFORE YOU ORDER e-MAIL Kathleen Loynachan bichon12@iowatelecom.net or CALL 641-862-3274 (after 6 pm Central Time) TO CHECK AVAILABILITY and to confirm shipping charges.

Please print out and fill in this form.
Send the form with your check or money order (US funds only) payable to BFCA and mail to:

BFCA Supplies
C/O Kathleen Loynachan
56446 - 295th Avenue
Chariton, IA 50049

(Sorry, we cannot accept credit card orders by phone or mail.)