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Order Form
For mail in orders please print this form and mail with payment to the address bellow.
Customer: Ship to: (If different from customer address)
Name:___________________________
Name:___________________________
Address:_________________________
Address:_________________________
________________________________
________________________________
City:____________________________
________________________________
State:_______________Zip_________
State:_______________Zip_________
Telephone:_______________________
Telephone:_______________________
E-mail(optional)____________________________
Mail Order Form with check or money order made payable to:
Phyllis B. Stafford
90 Brandywine Lane
Suffield, Ct 06078
Please remit funds in US dollars
Allow 1-2 weeks for delivery
If you have any questions please contact us
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