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PRINT THIS ORDER FORM AND MAIL WITH PAYMENT
INFORMATION TO:
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Circle Payment Method: Check Money Order VISA MasterCard Discover |
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Print Name: |
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Address: |
Email: |
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City: |
Credit Card Number: |
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State & Zip: |
Expires: |
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Telephone: |
Security Code REQUIRED:(last 3 digits on back of card) __ __ __ |
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Item Name and Description |
Quantity |
Price |
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Subtotal: |
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(see info below) Shipping and Handling: |
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Wisconsin residents must add 5.5% sales tax- |
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MAKE CHECKS PAYABLE TO: Ewe-nique Creations |
Total : |
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Shipping: |
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