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The Pink Gypsy - ORDER FORM

Please print this page and fill out completely. Use it to keep track of what you want to order.

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Price

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NOTE: Please add sales tax if you live in California

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.Plus California Sales Tax 7.75%

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PRIORITY MAIL:
+ 5.75
 
FIRST CLASS MAIL:
+2.75
 

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TOTAL:

$

Questions: Call 951 763 2068
Please ship to:

Name:________________________________________________

Address:______________________________________________

. . . . . _______________________________________________

City:______________________ State: _____ Zip:_____________

Phone: ( _________________________) -- We will call or email you if we have questions.

Email: ________________________________________________

____Please charge to my credit card:
(Charge to MC____ or VISA _____ or Discovercard____ or American Express_____

____ I have enclosed a cashier's check or money order (no personal checks, please) payable to

Penny Stewart

CREDIT CARD #____________________________________
EXP Date:_________ (MO/YR)

Signature:___________________________________

Mail completed form to:

Penny Stewart
c/o The Pink Gypsy
41560 Terwilliger Rd, Sp 130
Anza, CA 92539

Questions about your order? Call (951) 763 2068






 

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©Penny Stewart 1997-2008, All rights reserved
Last revised 06/22/08 - http://www.pinkgypsy.com/orderfrm.htm

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