Order Form

Order Form

Four Winds Walking

Rt.1 Box 51

Preston, MO 65732

Shipping Information:

Name....................................................................

Address................................................................

City.....................................................State..........

Zip Code...........................

e-mail....................................................................

Quantity...... Item.................................... Totem Design........Key......Price Each......... Total

....................Flute Kit..........................................................................$45............................

....................Cedar Flute.....................................................................$95.............................

....................Redheart Flute................................................................$135...........................

....................Yellowheart Flute..........................................................$135............................

.....................Ponderosa Pine Flute....................................................$85..............................

.....................Second Breath Care Kit.................................................$12.............................

.....................Protective Flute Bag......................................................$15.............................

.....................Other (please Specify)...................................................$.................................

............................................................................................Shipping and Handling...............

..............................................................Insurance (Optional, but Recomended) ...........$3....

.........................................................................................................Total Inclosed $.............

Shipping and Handling on domestic orders

Up to $84..................$5

$85 to $135..............$6

$136 to $199............$8

$200 to $300............$12

$301 and up free shipping and handling

Contact me for shipping and handling costs for International Orders

Payment method:

Check............

Money Order...........