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CUT LINE INCLUDE WITH ORDER
MAIL ORDER FORM FOR CHECKS
NAME:__________________________________________________
ADDRESS:______________________________________________
______________________________________________
______________________________________________
ITEMS ORDERED (item name, size, color and price)
________________________________________________________
________________________________________________________
________________________________________________________
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Shipping and handling is 20% + $2.65 for postal
tracking number.
Product Cost ___________
Shipping ___________
Total ___________
Your order
will be made when your check clears my bank. PLEASE MAKE THE CHECK PAYABLE TO :
EILEEN SMELTZ
234 Maple Drive
Monroeville, PA 15146