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Mitchell Wholesale

Wholesale Crafts Sources Directory Order Form

NAME______________________________________

ADDRESS______________________________________________

CITY_________________________STATE_____________ZIP________

EMAIL ADDRESS_____________________________________________

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VISA____MASTERCARD____AMERICAN EXPRESS____

CARDHOLDERS NAME (IF DIFFERENT)_______________________________

CARD # __ __ __ __/ __ __ __ __/ __ __ __ __/ __ __ __ __

EXPIRATION DATE ___/___

CHECK ___ MONEY ORDER___

NUMBER OF DIRECTORIES ORDERED ____

INCLUDE $20.00 PER DIRECTORY
ADD $3.00 SHIPPING & HANDLING FOR EACH DIRECTORY

TOTAL OF ORDER $__________

SHIP TO ADDRESS (IF DIFFERENT THAN ABOVE)

______________________________________________________

______________________________________________________

MAIL TO:
Mitchell Wholesale
P.O. Box 208
Valley Falls, New York 12185

Email address info@versatile-contents.com