ORDER FORM TO CARRIE B’S DANCE SHOP
(We suggest to copy and print this FORM)
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Fax to: (503) 760-7213 Name:...........................................................
Address:.............................................................
Country:.................................................................. City:............................................................
Fax:........................................................................ Telephone:.................................................
Contact:....................................................
REMARKS:..............................................
SHIP TO:
Name:...........................................................
Address:.............................................................
Country:.................................................................. City:............................................................
Fax:........................................................................ Telephone:.................................................
Contact:....................................................
REMARKS:..............................................
P R O D U C T S    P R I C E

Item	STYLE	TYPE	Color	Size	Qtdy	Unit / Price	Total
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						Shipping & HANDLING	$
						Total price	$

PRINT and FILL as many FORMS as necessary, and FAX it to Carrie B’s Dance Shop , Please include your Visa or M/C Number and expiration Date
FAX: 503-254-1164
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