The Embroidery Hoop, Etc. Order Form

PO BOX 912

O'Fallon, IL 62269-0912

PH: 618-622-5171 - FAX: 618-622-0719

 Quantity Item Description (include Motif) Color Size Price
         
         
         
         
         
         
         
         
NAME     SUBTOTAL  
ADDRESS     Postage and Handling= 15%  
CITY     IL Tax 8.75%  
STATE  
ZIPCODE      GRAND TOTAL   __________
PHONE #        
FAX #        
EMAIL        
   CREDIT CARD INFORMATION      
 CARD TYPE CREDIT CARD NUMBER CID Number
(3 digit number on card back at end)		    EXPIRATION DATE
         
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The Embroidery Hoop, Etc. © 2003

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