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Your Complete Source for Prom, Bridal, Pageant, Social Occasion and Fashion Jewelry, Pins and Tiaras
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| Date | 10.08.2017 | | Size | 37.15 Kb. | | #29765 |
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FAX ORDER FORM
Date:________________________
CUSTOMER INFORMATION
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SHIP To (If different address)
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Store Name:
Street Address:
City, State, Zip:
Email:
Phone #:
Fax #:
Contact Name:
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Store Name:
Street Address:
City, State, Zip:
Contact Name:
Phone #: Fax #:
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Quantity
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Style #
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Description/Color
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Total
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TOTAL:
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Method of Payment:
Net 30 COD Certified
COD Company Check
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MasterCard Visa AMEX ________________________________________
Exp ____/____ Card Holder Name: _____________________________________ |
Please Note: Items ordered without style # will not be authorized for return if incorrect.
Office Use: Customer had all style numbers for order: Yes No Order Taken By:
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