Order Form

Thank you for supporting the Greater Chesapeake Welsh Springer Spaniel Club by purchasing a custom-designed keepsake.  Created in the U.S.A. by Mill Street Design, this 100% cotton, Jacquard woven coverlet is preshrunk, colorfast, and machine washable.

The design captures special memories and will be a keepsake family members will treasure.

Please enter the desired quantity:

        _________ Coverlet(s)            @ $60.00 each       ___________

                                                        shipping @ $5.00    ___________

                                                        Total enclosed         __________

Checks should be payable to:

        GCWSSC

Mail check and order form to:

        Carla Nalewajek   

        14 Rudden Lane

        Colchester, CT 06415

Ordered by:

        Name:______________________________________________

        Address: ____________________________________________

        City: _______________________ State: ______ Zip:__________

        Phone:______________________ Email:___________________