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SERENITY BAMBOO FLUTES ORDER FORM

To order by mail, print this page by going to the top left of your browser window and click 'File' then click 'Print' to print this page on your printer. send the completed order form to the address below. We are a certified credit card merchant and accept Visa and Master Card. Make Checks or Money Orders payable to:

LINDA BARBADORO
P.O. 671
Stockbridge, MA 01262
 
ITEM DESIGN KEY BRASS HANDLE QUANTETY PRICE



MA RESEDENTS PLEASE ADD 5% SALES TAX

TOTAL:

 
CARD TYPE: VISA MASTER CARD
 
ACCOUNT NUMBER: __________________________________________________
EXPERATION DATE:__________________________________________________
CARDHOLDER'S SIGNITURE: ___________________________________________
EMAIL:____________________________________________________________
PHONE NUMBER: ____________________________________________________
 
SHIP TO: __________________________________________________________
NAME: ____________________________________________________________
ADDRESS: _________________________________________________________
CITY:________________________________________ST.____ZIP:___________

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