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To order, print this form and mail to the address
above, or phone with your credit card order. To pay through PayPal, please use the email address, duffy@duffydesigns.com to do so. |
| NAME___________________________________________________________________________ |
| ADDRESS________________________________________________________________________ |
| CITY______________________________________________STATE_________ZIP____________ |
| PHONE (daytime)___________________________EMAIL________________________________ |
| Payment Method____Check_____Visa_____Mastercard Expiration date________/_________ |
| Credit Card#_______ _______ _______ _______ Signature________________________________ |
| Style # | Item Name | Price | Quantity | Total |
| _______ | ________________________ | $_________ | ______ |
$_________ |
| _______ | ________________________ | $_________ | ______ |
$_________ |
| _______ | ________________________ | $_________ | ______ |
$_________ |
| _______ | ________________________ | $_________ | ______ |
$_________ |
| _______ | ________________________ | $_________ | ______ |
$_________ |
| _______ | ________________________ | $_________ | ______ |
$_________ |
Shipping |
SUBTOTAL | $_________ | ||
| TAX | $_________ | |||
| TOTAL | $_________ | |||
Thank You for your Order. |
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Website by Cricket Press |