Order Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=81 BGCOLOR="#000066" TEXT="#F7F7FF"> <div> <FONT SIZE="6" COLOR="#FFFFCC" FACE="Times New Roman" ><B>County Cloth / Chas.R.Childs</B></FONT><FONT SIZE="5" COLOR="#FFFF99" FACE="Times New Roman" ><B> </B></FONT><FONT SIZE="5" COLOR="#CC9900" FACE="Times New Roman" ><B>   </B></FONT><FONT SIZE="5" COLOR="#CC9900" FACE="Arial" ><B> |  </B></FONT><FONT SIZE="2" COLOR="#CC9900" FACE="Arial" ><B> </B><B> </B></FONT><B> H</B><A HREF="index.htm" TARGET="_top" TITLE="County Cloth / Chas.R.Childs"><U><B>ome</B></U></A><B>      </B><A HREF="id2.htm" TARGET="_top" TITLE="Background"><U><B>Background</B></U></A><B>   |   </B><A HREF="id3.htm" TARGET="_top" TITLE="States Rights Collection"><U><B>States Rights Collection</B></U></A><B>   |   </B><A HREF="id4.htm" TARGET="_top" TITLE="National Army Line"><U><B>National Army Line</B></U></A><B>   |   </B><A 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<B>                                                   COUNTY CLOTH, Inc.</B></div> <div> <B>                                                             13797-C Georgetown St. NE</B></div> <div> <B>                                                                     Paris, Ohio 44669</B></div> <div> <B>                                                           e-mail: </B><A HREF="mailto: crchilds1@verizon.net" TARGET="_top" TITLE="mailto: crchilds1@verizon.net"><U><B>crchilds1@verizon.net</B></U></A></div> <bR> <div> <B> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="669" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="329"><div> <B>Sold To:</B></div> </tD> <tD VALIGN=TOP WIDTH="329"><div> <B>Ship To:</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Name:_________________________________</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>Name:_________________________________</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Address:_______________________________</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>Address:_______________________________</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>City:__________________________________</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>City:__________________________________</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>State: _______________Zip:_______________</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>State:_______________Zip:_______________</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Country:_______________________________</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>Country:_______________________________</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>e-mail:_________________________________</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>e-mail:_________________________________</B></div> </NOBR></tD> </tR> </TABLE></B></div> <div> <B> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="666" BORDERCOLORLIGHT="#FFFFFF" BORDERCOLORDARK="#000000" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> <B>QUANTITY</B> </div> </NOBR></tD> <tD VALIGN=TOP WIDTH="374"><div> <B>ITEM DESCRIPTION</B></div> </tD> <tD VALIGN=TOP WIDTH="86"><div> <B>PRICE</B></div> </tD> <tD VALIGN=TOP WIDTH="87"><div> <B>TOTAL</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="374" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="374" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="374" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="374" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 22 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="22" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="22" ALIGN="bottom" WIDTH="374" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="22" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="22" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="374" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="374" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="374" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="374" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 71 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="71" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><div> <B>PLEASE NOTE: Patterns are intended for the purchaser's personal use only. For use of these patterns in the production of garments for sale contact: </B><A HREF="mailto:crchilds@bright.net" TARGET="_top" TITLE="mailto:crchilds@bright.net"><U><B>COUNTY CLOTH, Inc.</B></U></A></div> </tD> <tD VALIGN=TOP><NOBR><div> SUBTOTAL</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="71" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><div> <B>ALL CUSTOMERS ADD 6.00%</B></div> </tD> <tD VALIGN=TOP><NOBR><div> SALES TAX</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 49 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="49" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="374"><div> <B>With orders up to $49.00, add $6.00; from $50.00 to $149.00, add $9.00; from $150.00 to $249.00, add $12.00; from $250.00 to $400.00, add $15.00; in excess of $400.00, add $18.00.</B></div> </tD> <tD VALIGN=TOP WIDTH="86"><div> SHIPPING & INSURANCE</div> </tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="49" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="86"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="86" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP><NOBR><div> <B>BLANKETS REQUIRE SEPARATE SHIPPING!</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="86"><div> <B>TOTAL</B></div> </tD> <tD VALIGN=TOP WIDTH="87"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="87" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></B></div> <div> P<FONT SIZE="3" COLOR="#000000" FACE="Times New Roman" >lease indicate: </FONT></div> <div> Check: ______ Money Order: ______ VISA, MC  #:________-_________-_________-________ </div> <div> Expiration: _________  Three-digit # from back of card:_____</div> <div> MEASUREMENTS (In inches): We suggest actually measuring your body. The chest & waist measurements are circumferences. Chest at breast: ______ Waist at the navel: ______ From the hollow of your neck to your navel:______ Shirt sleeve (With one arm parallel to the ground and elbow bent, measure from the base of the neck, across back, around bent arm to bottom of the prominent bone in your wrist, whew!): ______ Coat Sleeve (With arm hanging straight down at your side, measure from shoulder end to the bottom of that prominent bone in your wrist): ______ Inseam: ______ Neck: ______</div> <bR> <bR> <bR> <div> <B>"TERMS & CONDITIONS"</B><FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <div> <B>Kits CANNOT be returned. </B></div> <bR> <div> <B>Returns accepted on all other items, if returned within five days. Shipping costs will not be refunded.</B> </div> <bR> <div> <B>Allow six weeks for delivery of kits, three weeks for fabrics, patterns, etc. </B></div> <bR> <div> <B>If you have concerns about meeting a delivery deadline, write or e-mail BEFORE placing your order.</B> </div> <bR> <div> <B>SHIPPING / INSURANCE FEES:</B><FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <div> <B>For all orders up to $49.00, ADD $6.00.</B> </div> <bR> <div> <B>For all orders of $50.00 to $149.00, ADD $9.00.</B> </div> <bR> <div> <B>For all orders of $150.00 to $299.00, ADD $12.00.</B> </div> <bR> <div> <B>For all orders of $300.00 to 499.00, ADD $15.00.</B></div> <bR> <div> <B>For all orders in excess of $500.00, ADD $18.00.</B> </div> <bR> <div> <B>ADDITIONAL CHARGES:</B><FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <div> <B>For chest sizes larger the 44, ADD 10% to list price. This does not include patterns.</B> </div> <bR> <div> <B>For waist sizes larger than 39, ADD 10% to the list price. This does not include patterns.</B> </div> <bR> <div> <B>PAYMENTS:</B><FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <div> <B>PAYMENT in FULL CONFIRMS order.</B> </div> <bR> <div> <B>MONEY ORDERS Preferred. </B></div> <bR> <div> <B>MONEY ORDERS ORIGINATING OUTSIDE THE U.S.A. WILL NOT BE ACCEPTED. Customers outside of the U.S. must pay with VISA, MasterCard or U.S. funds</B></div> <bR> <div> <B>VISA, MasterCard & Discover accepted.</B></div> <bR> <div> <B>Please make all checks and money orders payable to: </B></div> <bR> <div> <B>COUNTY CLOTH, Inc.</B><FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <div> <B>County Cloth is a mail-order business. We maintain no showroom or walk-in retail outlet.     </B></div> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="189" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="108"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="108" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="74"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="74" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> </td> </tr></table></body>