Print out this form, then fill in your order..
HOBI Cookie Molds, P O Box 25,
Belleville, IL 62222-0025
www.cookiemold.com
GeneWilson@Cookiemold.com   

Please list your phone or e-mail should
it be necessary to contact you concerning 
this order:

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Ship to: [may attach address label]                         

Name_______________________________
Address_____________________________
City_________________________     State______________  Zip______________

Quantity      Item No.        Description                                       *Wood             Total
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[______]    16 Page Recipe/Instruction Booklet [One Included with each Order]      Free
[______]    16 Page Recipe/Instruction Booklets [Priced at $1.00 each]                 ______
[______]    Illustrated Price List [We no longer offer a mail order catalog]              Free 
_________                 
*Shipping to USA: Up to $100, ADD $6; >>>>>>>>>>                 Merchandise Total:   ______
From $100 to $200, add $9;                         Sales Tax 8.1% (IL Residents Only):   ______
Over $200, add $12.                                               *Shipping Charges:   ______

CANADA: Add $3 to above shipping costs.  
Use money order or check in USDollars                           TOTAL ENCLOSED:    ______
Other Countries:  See "How To Order" web page.
Make checks or money orders payable to  Gene Wilson  ~ Credit Cards NOT ACCEPTED.

Woods and Finishes: Molds are either solid Beech or Cherry wood.  You may request your wood choice
         although we may not be able to honor your request.    Molds stocked in a food-safe "B" finish.

[  ] THIS IS THE FIRST TIME I'VE ORDERED / [  ] I'm a "Returning Customer"
[  ] The following person doesn't have internet access - please mail them a free price list:

Your choice of ONE free gift below with any U.S. order rec'd in MAY or JUNE 2013
        [   ]  3.5" Cutter #99  ($4.) works with #1,  #3, and #49-54.
[   ]  2.5" Cutter # 98($4.) works with #2, #4, and  #56-78
[   ]  Pastry Wheel #100 ($4.) provides a decorative edge
[   ]  Small ABC Hornbook History by Gene Wilson
[   ]  Two Metal Cookie Cutters of Our Choice
#99
#98
#100 Wheel
$4.