Heirloom Eggs order form
To order REAL EGGSHELL TRINKET BOXES, Send Check
or Money Order for amount of each egg box ordered (plus $3.00 P&H for each box) along with
this completed Form to: Gina Robertshaw 52 E. Summit St. Summit Hill, PA 18250
 ------------------------------------------------------------------------Name
------------------------------------------------------------------------ Address:
------------------------------------------------------------------------ City: State: Zip Code:
------------------------------------------------------------------------ Telephone #:
------------------------------------------------------------------------ E-Mail Address:
------------------------------------------------------------------------ Please specify Quantity
desired: [ ] Base color(s) for each egg box ordered: Preferred accent colors:
(1)--------------------------------------- with ------------------------
(2)-------------------------------------- with ------------------------
(3)--------------------------------------- with ------------------------ *Please allow 3-4 weeks
for delivery. As these are handmade crafts, orders over 3 items will require additional time and will
be sent separately. Gina's Gifts c/o Gina Robertshaw 52 E. Summit St. Summit Hill, PA 18250 
If vertical or horzontal choice is available please specify:
(1)__________________
(2)__________________
(3)__________________
If you wish to order an egg stand with your egg please e-mail Gina Robertshaw <ginapsu1@ptd.net>
for availability and prices.

THANK YOU FOR SHOPPING AT HEIRLOOM EGGS!