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PRINT THIS ORDER OR TYPE ALL
INFORMATION BELOW
Date of Order:_______________________________
Approximate date* your order is needed ________________
*(see Speedy Service if needed)
Fax Completed Form to (757) 838-1668
Questions, call (800) 572-1431 or (757) 838-8346
Name:_____________________Phone # ( )___________________(H/W/Cell)
Address:________________________City____________State____Zip:______
Credit Card Number:_________________________Expiration Date:________
3 digit Security Code:______
Billing Address for the Card:___________________________City___________State_____Zip:______
Shipping Address:
Ship to:_________________________ Resident or Commercial Delivery (circle one)Address:______________________City________________State____Zip:_____
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Subtotal $____________
VA residents x .05 Sales Tax $____________
Shipping U.S. Mail $10 + Delivery Confirmation fee;
or UPS $12 (Call for orders over $80.00) $____________
Make check or money order payable to Creations by Margo Lynn, Inc.
Total of Order $____________
X_______________________________ X____________________
Signature of cardholder * date
*Signature is required to process the order
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