This Order Form can be easily printed on your printer. Just right click to "Print" or look in the "File" menu for the "Print" command. Fill it out then call, scan, fax, OR send it to us with a money order.
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DATE: ____________PHONE: (______)_________________ Residential Address? ___ Yes ___No
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Bill-To Address
Is this a gift? ______ Invoice will be sent to Bill-to Address
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Ship-To Address (if Different)
Please use Street Address for UPS delivery
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Name:
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Name:
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Address:
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Address:
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City: State: Zip:
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City: State: Zip:
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For VISA, MC, or Discover:
VISA___ MC___ Discover___ CARD NO: ________________________________
EXP DATE: __________ Security Code: ______ Signature (Required) ______________________________________
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QTY
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ITEM #
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COLOR*
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DESCRIPTION
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PRICE
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TOTAL
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TOTAL MERCHANDISE PRICE
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PA residence add 6% sales tax
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SUB TOTAL
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Please phone or email for shipping total
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Shipping and handling (see note at left)
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TOTAL
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any additional information.
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We accept Visa, Master Card, Discover and
Money Orders made out to I'm Stuffed Fur
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Thank you for your order!
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