Order Form

Dirty Sally's Online Catalog
Order Form

To insure the accuracy of your order, please fill out the following order form and either fax it to Dirty Sally's at 307-366-2501 or mail to Box 7, Ten Sleep, WY 82442. Orders may also be called in. Please call Dirty Sally's at 307-366-2500 with any questions.

Name:

Address:

City:

State:

Zip:

Phone Number:

Email Address:

Most items can be customized in color and design. Call 307-366-2500 or email kmoore@tctwest.net for more information.

Item Name	Price	Quantity
Quilts, Afghans & Homey Items
Log Cabin Quilt (Queen Size)	$400.00
Green Block Quilt (Queen Size)	$400.00
Red Block Quilt (Queen Size)	$400.00
Bears Block Quilt (Queen Size)	$400.00
Blue Block 1 Quilt (Queen Size)	$400.00
Blue Block 2 Quilt (Queen Size)	$400.00
Embroidered Quilt (Queen Size)	$400.00
Blue/Brown Quilt (Queen Size)	$400.00
Wildlife Block Quilt (Queen Size)	$400.00
Indian Camp Quilt (Queen Size)	$400.00
Chicken Quilt (Queen Size)	$400.00
Red/Black Quilt (Queen Size)	$400.00
Blue/Orange Quilt (Queen Size)	$400.00
Cowboy Block Quilt (Queen Size)	$400.00
Afghan (4'x8')	$42.00
Crotchet Round Rug	$42.00
Quillow (45"x72")	$45.00
Quillow (45"x54")	$37.00
Quillow (45"x45")	$32.00
Wall Hanging	$40.00
Pillow Cases (2 std size)	$17.00
Curling Iron Caddies	$6.00
Cowboy & Girl Bubble Bath	$3.00	Design
Black Fleece Yarn	$20.00	Type
Baby Items
Baby Quilt	$25.00
Childrens Vest (M, L, XL)	$10.00	Size
Receiving Blanket (30"x30")	$4.00
Hooded Baby Towel	$7.00
Denim Baby Bibs	$10.00
Terry Cloth Baby Bibs	$3.00
Baby Bibs with Sleeves	$8.00	Design
Kitchen Items
Round Pot Holders	$7.00
Pot Holders	$3.00	Design
Oven Mitts	$7.00
Kitchen Towels	$5.00
Place Mats (4 per pkg)	$16.00
Crotchet Dish Cloths	$3.00
Table Cloth & Napkins (45"x45")	$12.00
Table Cloth & Napkins (45"x60")	$17.00
Embroidered Kitchen Towels	$6.00
Dirty Sally's Shot Glass	$5.00
Dirty Sally's Drinking Glass	$4.50
Dirty Sally's Ash Tray	$5.00
Dirty Sally's Coffee Cup	$6.00
Chokecherry Jelly & Syrup (pint)	$5.00
Chokecherry Jelly (2.5 oz)	$2.00
Chokecherry Jelly (1 oz)	$1.30
Old Fashion Apron	$40.00
Kitchen Girl	$8.00
Butcher Block Apron (adult)	$10.00
Butcher Block Apron (children)	$7.00
Sock Sack	$5.00

Total Order
S&H (Call for S&H charges 307-366-2500)

Grand Total

Additional Comments on this order:

Credit Card Information

Type:
Mastercard
Visa

Credit Card Number

Expiration Date:

Fax this order form to 307-366-2501 or mail to Dirty Sally's Box 7, Ten Sleep, WY 82442.

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Dirty Sally's
112 2nd Avenue, PO BOX 7, Ten Sleep, WY 82442
1-307-366-2500 E-mail: kmoore@tctwest.net