Victorian Rose Pin Order Form

Ribbon colors: Select one color / kit

Please indicate first choice and second choice for each kit ordered:

___ Light Pink
___ Dark Pink
___ Wine
___ Light Yellow
___ Yellow / Pink
___ Lavender
___ Peach
___ Light Blue
___ Dark Blue

I wish to order ____ Kits @ $12.50 each

Enclosed is a check or money order for the amount of: ______

Mail to: Faye Labanaris, 80 Mt. Vernon Street, Dover, NH 03820

Send kit to:

Name_________________________________________________

Address_______________________________________________

City___________________ State________ Zip Code___________

E-mail Address:_________________________________________

Thank you for your order.
Enjoy your making and wearing your Victorian Ribbon pin.