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Product Order Page
Name:
Address:
City/State/Zip:
E-Mail:
Phone:
Please refer to the item page for available sizes and prices
**************************************************************************************************
Description
Quantity
Size
Price Each
Embroidery
Embroidery Fee
$1.00 per character
Total Price
Chanukah Bags
Velvet Scarves
Choose Item
1
2
3
4
5
6
7
S
M
L
XL
$ 5.00
$ 7.00
$ 10.00
$ 15.00
Chanukah Bags
Velvet Scarves
Choose Item
1
2
3
4
5
6
7
S
M
L
XL
$ 5.00
$ 7.00
$ 10.00
$ 15.00
Chanukah Bags
Velvet Scarves
Choose Item
1
2
3
4
5
6
7
S
M
L
XL
$ 5.00
$ 7.00
$ 10.00
$ 15.00
Chanukah Bags
Velvet Scarves
Choose Item
1
2
3
4
5
6
7
S
M
L
XL
$ 5.00
$ 7.00
$ 10.00
$ 15.00
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Sub Total:
New York residents add
7% Sales tax:
S & H Via priority Mail $2.00 per Item
Shipping:
Merchandise
Total:
**************************************************************************
Method of Payment:
_____Check
____Visa
____MC
Credit card Number:_____________________ Expiration date:__________________
Name as it appears on Master Card or Visa:_______________________________________
Authorized Signature:_________________________________________________________
Please Note...If you wish to pay by Credit Card or Check you should print this page before submitting the above item information. Card information is NOT transmitted via this form. Please call 518.756.3649 or mail this printed Order Form to
245 Starr Road * Ravena, NY 12143
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