________Order Form: Contry Girl and Country Boy Pillows

Country Girl Country Boy   Country Girl Form Country Boy Form Color Combination Select Pink / Rose Blue / Yellow Green / Yellow Gingham Ruffle Color Select Pink Lt Blue Red Yellow Skin Color Select Flesh Brown Personalized Information (separate with commas) Other Comments Color Combination Select Blue / Red Green / Yellow Gingham Ruffle Color Select Lt Blue Red Yellow Skin Color Select Flesh / Brown hair Brown Black curly hair Personalized Information (Separate with commas) Other Comments All personalized orders are confirmed by email  New Windsor, NY 12553 Phone: (845) 534--5539 • Toll free: 1 866-225-2251 ( 9 a.m. to 5 p.m. Eastern Standard Time ) Email: tlp@thelittlepillow.com