Name (First & Last)
Billing Address (if different): Shipping Address:
Street Address:
City: State: Zip:
Country:
Telephone: E-Mail:
Credit Card Information:
(check and money orders also accepted) Visa
Mastercard
American
Express
Name on Card:
Number:
Exp. Date:
Print Form &
(with Payment) Mail Fax or Phone Payable to: Crafts Across America
P.O. Box 145
Kearsarge, NH 03847 Fax: 1-(603)-356-0179 Phone 603-356-8455