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Red's Gallery Form

Red's Gallery ORDER FORM


THIS FORM CAN NOT BE SENT VIA E-MAIL
IT IS PROVIDED ONLY AS A CONVIENCE FOR ORDERING
PLEASE PRINT AND MAIL WITH PAYMENT WHEN COMPLETED.

Date
NAME E-MAIL
ADDRESS CITY State Zip
Amt.Ea.
Discription/color/size beads
Qnty.
Total Amt.
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $

Sub Total $
Shipping
US Mail
$
COD $
TOTAL DUE $

U.S. Shipping Rates

Priority Mail -------------- $ 6.35 including $50.00 ins. Insurance ------------------ 1.30 per $50 increment

Please contact me for special handling and/or shipping outside US.

This form is provided only as a convience for ordering and CAN NOT be sent e-mail. Please PRINT (page 1 to 1 only) the completed form before clicking on the "clear form" button below. Make checks payable to Red Ventling and mail to
Once received, I will contact you via e-mail to inform you of receipt and approximate shipping date.
Thank You for your order, Red

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