Wild Card Design Studio

Photo Conversion Chart Order Form

Wild Card Design Studio

Box 254 · Pangman, Saskatchewan, Canada · S0C 2C0

Please print:

Name:____________________________

P.O.Box/Street:_____________________ City:_____________________________

Province (State):____________________ Postal Code (Zip code):________________

Telephone:_________________________ E-Mail Address:_____________________

Please note: prices are in U.S. funds.

Your title for chart:(optional)_________________________________________

Fabric Count:

14-count: _____
16-count: _____
18-count: _____
22-count: _____
28-count: _____

Dimensions of Design: width: _______ height: _______

Pattern Prices:

____ up to 80 sq. inches: $19.95
____ 81 to 141 sq. inches: $27.95
____ 142 to 202 sq. inches: $33.95
____ 203 to 263 sq. inches: $38.95
____ 264 to 324 sq. inches: $44.95
____ 325 to 385 sq. inches: $51.95
____ 386 to 446 sq. inches: $55.95
____ 447 to 507 sq. inches: $62.95
____ 508 to 568 sq. inches: $67.95
____ 569 to 629 sq. inches: $74.95
____ 630 to 690 sq. inches: $79.95
____ 691 to 751 sq. inches: $85.95

Options:

Floss Family: DMC: _____ Anchor: _____

Cropping: Outline the area you want included in the design on a second copy of your photo, along with an unmarked copy with your order. (no charge)

Symbol Grid:

____ 5 sq./chart inch: add $5.00
____ 6 sq./chart inch: add $4.50
____ 7 sq./chart inch: add $4.00
____ 8 sq./chart inch: add $3.50

Background:

____ remove entirely (add $8.00)
____ replace with a solid color: (color)____________ (add $8.00)

Design Shape:

square: _____

rectangle: _____

oval: _____

circle: _____

Additional Instructions:

______________________________________________________________________

Subtotal: __________

Shipping and Handling:__________

In Canada: $3.50 for the first chart, $1.25 for each additional chart.
U.S. orders: add $5.50 for the first chart, $2.00 for each additional chart.
Outside of Canada/U.S.: $6.95 for the first chart, $2.75 for each additional chart.

Total: __________

Payment Options:

With mail-order form: Cheque or Money Order (U.S.Funds) payable to Wild Card Design Studio.

By e-mail: I can invoice you through PayPal as long as you have a valid e-mail address. It is not necessary to have an open account with PayPal. PayPal will send instructions on how to complete your payment with your invoice.

Photo Conversion Chart Order Form