| Fancy-Panties order form |
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embroidery:
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placement of emb
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other instructions
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| sub-Total |
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| shipping |
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| shipping address |
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shipping to USA ---------- free
USA Priority Mail --------- $5.00
Int. airmail up to 2 panties..... $5.00
Int.airmail 3-5 panties ...... $8.00
Int. airmail more than 5 panties email
me!
USA Priority Mail --------- $5.00
Int. airmail up to 2 panties..... $5.00
Int.airmail 3-5 panties ...... $8.00
Int. airmail more than 5 panties email
me!
| C. Steffan 980 Holmes Rd. Silver Creek, NY 14136 |
| mail to: |
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| item |
_________________________________
____
____
embroidery:
_____________________________________
_____________________________________
| quantity |
______
_
_
_______
_
_
| Total |
| color |
______
_
_
______
_
_
| price |
placement of emb
_________________________________
_________________________________
other instructions
_________________________________
_________________________________
| Size |
______
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_
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_
_
______
_
_
| item |
_________________________________
____
____
embroidery:
_____________________________________
_____________________________________
| quantity |
______
_
_
_______
_
_
| Total |
| color |
______
_
_
______
_
_
| price |
placement of emb
_________________________________
_________________________________
other instructions
_________________________________
_________________________________
| Size |
______
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_
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| Thank you ! |
Credit card info:
name on card __________________________
credit card billing address (if different from shipping
address)
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card number:______________________________
expiration date:_________________
3 digit security code _____________
name on card __________________________
credit card billing address (if different from shipping
address)
_______________________________________
______________________________________
card number:______________________________
expiration date:_________________
3 digit security code _____________