| Customer
Information: (please print) |
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| Name
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_______________________________ |
Phone #
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______________________________ |
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| Address |
____________________________________________________________________ |
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| City/State/Zip
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____________________________________________________________________ |
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| Ship
To: (if different from above address) |
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| Name
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____________________________________________________________________ |
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| Address |
____________________________________________________________________ |
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| City/State/Zip
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____________________________________________________________________ |
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Payment:
Please make check payable to
"Shelley Skoropinski" and mail to:
Shelley Skoropinski, 14029 282nd LN NE, Duvall, WA 98019 |
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| Order
Information: |
| Quantity |
Name
of Print |
Price |
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Shipping
Rates:
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Shipping
& Handling
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One
to four prints - included
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Five
or more prints $5.00 |
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Merchandise
Total
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__________
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Shipping
and Handling
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__________
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TOTAL
- Thank You!
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__________
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