Please print this form and mail with your payment to:

Custom Skirt Order Form

Complete and mail to:

"She Maketh Herself Coverings"
2012 North 61^st Avenue
Pensacola, Florida 32506-3462

Name:

Address:

City, State Zip

E-Mail

Telephone

Qty	Fabric Description	Waist Size	Abdomen (4 in below waist)	Hips (9 in below waist)	Skirt Length	Slit	Price Each	Total Price

Office Use Only		Subtotal
		Florida Residents Add 7.5% Sales Tax
Number	Terms
		Please Add Shipping From Table Below

		Priority Mail Please Add $3.85 (see note below)*
Received	Shipping
		Optional Insurance (Highly Recommended) From Chart Below

		Make Your Check Out (in US funds) To: "She Maketh Herself Coverings" Total

Shipping Rates for Skirts in $US for US Mail First Class

For a subtotal of:	48 Contiguous States	APO, FPO, Alaska, Hawaii	Canada	International
$10.01 to $20.00	$5.00	$5.00	$7.00	30%
$20.01 to $40.00	$7.50	$7.50	$9.50
$40.01 to $60.00	$10.00	$10.00	$12.00
$60.01 to $80.00	$12.50	$12.50	$14.50
$80.01 to $100.00	$15.00	$15.00	15%
$100.01 and up	15%	15%

Shipping Schedule:

Allow 6 weeks for skirts.
Many First Class packages can take 5 days or more to arrive
* I usually send all skirt orders Priority Mail. If a shipping charge does not cover the cost to ship Priority, I will send it First Class.
Attention Canadian & Foreign Orders: All payments must be in US Funds or we will have to hold the order until adequate payment is received.

Due to the inadequacies in the service of the post office this past year, we HIGHLY recommend that all of our customers add insurance coverage to their orders regardless of their size or value. We at SMHC cannot be responsible to replace orders and items lost or damaged in shipping by the United States Postal Service. Please add the appropriate amount on the order form above. You may reference the USPS Insurance Guidelines at http://www.usps.gov/consumer/domestic.htm#ins.

Desired Coverage	Insurance Fee
$0.01 to $50.00	$1.30
$50.01 to $100.00	$2.20
$100.01 to $200.00	$3.20
$200.01 to $300.00	$4.20
$300.01 to $400.00	$5.20
$400.01 to $500.00	$6.20
$500.01 to $600.00	$7.20
$600.01 to $700.00	$8.20
$700.01 to $800.00	$9.20
$800.01 to $900.00	$10.20
$900.01 to $1,000.00	$11.20
$1,000.01 to $5,000.00	$11.20 plus $1.00 for each $100 or fraction thereof over $1,000.00 in desired coverage.