Order Form

Please type your information, print, and send this completed order form with your check, money order, or 

credit card information to:

Katie Fund

6690 S. Piney Creek Circle

Centennial, Co 80016

If you would like your designs quickly,

 Just send an e-mail and I will send my Number.

Please make checks payable to: The Children's Hospital of Denver

Set 199 is 30.00

Set 268 is 10.00

Set 277 is 25.00

Set 203 is 10.00

Set 305 10.00

Set 310 is 30.00

Set 311 is 30.00

Set 312 is 20.00

Set 314- 30.00

Set 341-10.00

Set 348 -10.00

Set 352- 356 1$15.00

all other sets are 20.00 and Individual designs are 5.00

Design Sets Ordering  

Format Preferred

Individual Designs (please indicate which set these designs are from) or 5 names for set 348

 

Individual designs will be sent in PES format only.  Sorry for any inconvenience.

Click HERE for a free design

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Donation amount:

Name:

Email Address:

Mailing address: 

City: State: Zip:

Phone number: (in the event we have a question regarding your order)

Credit Card: (check which one using) MASTERCARD  VISA  AMERICAN EXPRESS

Credit Card Number: 

Expiration Date:

Signature