Your Name   _________________________________________________________________


Child's Name and Age  _________________________________________________________


Address  ____________________________________________________________________


City, ST Zip  __________________________________________________________________


Phone  ______________________________________________________________________


Deposit Amount $  _____________________________________________________________

PARTY DATE REQUESTED:
Birthday parties coming soon to the Olde Wicker Mill New Hartford, NY Call fro more information
Doll parties will held in the New York StorePlease visit this page at a latter date. Thank you Susan