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Name:__________________________________
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Mailing
Address
Shipping Address
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________________________________________ |
_________________________________________ |
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________________________________________ |
_________________________________________ |
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________________________________________ |
_________________________________________ |
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Telephone: _________________________ |
E-mail:____________________ |
Description of fur garment or
other heirloom enclosed:
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___________________________________________________________________________________ |
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___________________________________________________________________________________ |
For personalized
footpads, print below the exact information..
Each
footpad maximum of 2 lines. ($20 per bear)
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First
footpad:____________________________________________________________ |
|
____________________________________________________________ |
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Second
footpad:_________________________________________________________ |
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_________________________________________________________ |
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Item# |
Size |
Description |
Color |
Qty. |
$Total |
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Amount of deposit enclosed:
$ _____________________ |
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Payment Method:
Check M.O. Visa MasterCard Discover |
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Cardholder
Name:____________________________________ |
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Card
Number:________________________________________ |
Exp. Date:_________________ |
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Signature:___________________________________________ |
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Send to: |
Like A Doll |
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Kathy Hutcheson |
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242 Town Pond Road |
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Batesburg, South Carolina 29006 |
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Shop# 803.532.8431 |