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SERENITY BAMBOO FLUTES ORDER FORM

To order by mail, print this page and 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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