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Please print this order form out and either fax it with your credit card information
or mail it with payment. | |
141 Maple St. Brooklyn, NY 11225 |
To order by phone or fax (credit cards only) Ph: 718-462-0478 Fx: 718-462-0014 |
Item # |
Qty. |
Description |
Price |
Total |
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| Monogr Item Color _____________ Lettering: __ Blue __ White __ Gold __ Silver Initials:
Wedding Date: ____ ____ ____ |
sub total |
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| NY applic. Sales Tax |
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| S&H | $ 10.00 | |||||||||
| Total |
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Enclose your check or money order,Ship To:
visa/ mastercard information as indicated below.
__ check __ money order
visa/mastercard acct. # Expiration date of card __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__________________________________
authorized signature
Name ____________________________Allow 2-3 weeks delivery Thank you for your order
Address _________________________
City ___________________ St. _______ Zip ______
Daytime Phone # ___________________
Date of Wedding ____________________