Korovai Order Form

Please complete this form with information about the Korovai you would like to order.

We will contact you to verify your order and process payment.

YOUR CONTACT INFORMATION

Your Name

Email Address

Phone Number

Please indicate the quantity of each item you would like to order:

QTY	DESCRIPTION
	Undecorated Small Korovai - $75
	Small Decorated Korovai - $120
	Medium Korovai - $180
	Large Korovai - $220
	Small Decorative Doves - 50¢
	Large Edible Doves - $1
	Korovaichyky - $5

Please provide the following information:

Color of embroidery cloth (white or ivory)

2 Colors of embroidery on the mini-rushnyk (cloth)

2 Colors of Ribbons on the Korovai
Please provide in the space below any special instructions for your Korovai.

Enter the date you will need the Korovai to arrive:

-- mm/dd/yy

	SHIPPING INFORMATION
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Send mail to info@nazdorovya.com (please paste this address into your email application) with questions or comments about this web site.
Copyright © 2003 nazdorovya.com
Last modified: 03/20/12