Complete all sections by printing clearly and mail to the address
below with a money order/check or specified payment information.
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| www.jackiescrafts.com | |
| Print this form on your printer. Complete all sections by printing clearly and mail to the address below with a money order/check or specified payment information. |
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| Name: | Ship To: |
| Address: | Name: |
| City: | Address: |
| State & Zip Code: | City: |
| Phone: | State & Zip Code: |
| Email Address: | Phone: |
| Item # | Qty | Item Description/Print Names to be personalized on an item (Separate names with commas - Specify dates if required) |
Unit Price | Total |
| ________________________________________________________ | ||||
| ________________________________________________________ |
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| ________________________________________________________ |
| Make checks payable to: J. DeAngelo and mail to: 7670 Windsor Drive N., N. Syracuse,NY 13212 Phone - (315) 458-3433 -New York residents must include sales tax at the rate where they live. -All orders shipped via the US Postal Service unless otherwise arranged. -You will receive order confirmation by email. |
Subtotal(a) | |
| Shipping(b) | ||
| SubTotal w/Shipping(c) | ||
| Tax=(Rate x (Total in c) | ||
| Total |
| MasterCard___ | Visa___ | Discover___ | AmerExpr___ | Expiration Date: ____/____ |
| Account # | |
| Signature (required on all Mail Orders) |