FLUTTERBIES ORDER FORM |
TODAY'S DATE: |
ORDERED BY: |
Ship to (if different): |
NAME: |
NAME: |
STREET: |
STREET: |
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CITY: |
CITY: |
STATE: |
STATE: |
ZIP: |
ZIP |
PHONE: |
PHONE: |
EMAIL: |
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EVENT DATE (if applicable): |
EVENT TYPE: |
EVENT TIME: |
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ITEM # |
DESCRIPTION |
QUANTITY |
PRICE EACH |
TOTAL |
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SUBTOTAL |
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SHIPPING |
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TOTAL |
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Make checks payable to:
Flutterbies
508 Cabot Drive
Hockessin, DE 19707
Phone: (302) 235-0712
Fax: (302) 235-0713
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