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Printable Form to FAX or Mail-in |
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Product Description |
Quantity |
Cost per Item | Total Cost | |||||
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Car Cross |
Gold
Red//Blue Spanish |
$2.00 |
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Confidence Coin |
Original
Spanish |
$ 2.00 |
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Good Night, Sleep Tight Angel |
$ 3.95 |
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Solid Bronze Angel |
$29.00 |
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Solid Bronze
Nativity |
$18.00 |
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"You May
Not Like It, But You're A Lot Like Me"
|
$14.95 |
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Standard Delivery: UPS |
Merchandise Total |
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Shipping & Handling |
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(Add the two lines above) SUBTOTAL |
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Illinois Residents
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TOTAL AMOUNT ENCLOSED |
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| Name_________________________________________ Address 1 _____________________________________ Address 2 _____________________________________ City:__________________________________________ |
State/Province _________________________________ POSTAL CODE ________________________________ Country_______________________________________ Daytime Phone: (_______) _______________________ |
Because we respect your right to privacy, unless required by law,
we will never sell, lease, rent, or share your personal and confidential
information with a third party. All information you provide to us will
remain secure! We will only contact you by phone or e-mail regarding your
current order or request.