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The Cross In My Pocket
Order Form

Print out this form, fill in the blanks and send this
completed form along with $2.00 (for each cross, heart of "hug") to
CHECK BACK FOR NEW ADDRESS... WE HAVE MOVED!
They will be sent out as soon as possible.
Please fill in your name and address and no other names and addresses if your entire order is to be sent to you. You can split up your order if you wish.
The very first address is FREE. If you wish to split up your order and send one to someone else and yourself, then please fill in the additional address slots. There is an additional charge of $.10 cents per address for every address after the first address. (Note: This charge is per ADDRESS not per ITEM sent to each address!)
Put the address number next to the order so I will konw where to send the items ordered.
Please make sure that you fill in which color(s) you woould like. Use a different line for each different address and for each different color.

If you have ANY questions E MAIL me and I will be glad to answer them.

If you are sending this to some one else would you like for them to know who has sent this to them?

______YES OR ______NO

#1

Your name: _______________________________________________________
Address: _____________________________________________________
City: _____________________________State: __________Zip: _____________

Address # where to be sent Item Description Color Quanity Price Each Additional Addresses X .10 (each) Total Price
             
             
             
             
             
             
             
             
             
             

***ADDITIONAL ADDRESS SLOTS***

#2

Name: _______________________________________________________
Address: _____________________________________________________
City: _____________________________State: __________Zip: _____________

#3
Name: _______________________________________________________
Address: _____________________________________________________
City: _____________________________State: __________Zip: _____________

#4

Name: _______________________________________________________
Address: _____________________________________________________
City: _____________________________State: __________Zip: _____________

#5

Name: _______________________________________________________
Address: _____________________________________________________
City: _____________________________State: __________Zip: _____________

#6

Name: _______________________________________________________
Address: _____________________________________________________
City: _____________________________State: __________Zip: _____________

#7

Name: _______________________________________________________
Address: _____________________________________________________
City: _____________________________State: __________Zip: _____________