10810 N. 91st Avenue #90
Peoria, Arizona    85345-5674
Please use your browser button to print out the form below and fill it out for "snail mail" orders.
Please be aware that our local post office will not deliver orders that do not have the #90 following the address.
If you would like to print a label to glue to your envelope, please click here.
We may accept only personal checks or money orders.
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Name: ______________________________________________________

Address: ____________________________________________________

City, State: __________________________________________________

Zip Code:  __________________ Phone: __________________________

If you would like confirmation of the receipt of your order, please include your e-mail address. _____________________________________________________________________
 
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Design Name
Size
Type
PP/TT
Price
Each
#
Ordered
Total
Each
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 Subtotal
  
Shipping & Handling
 $0.00
AZ Residents ONLY Please Add 7.3% Sales Tax  
Final Total  
Make Checks or Money Orders Payable to Margo Rose - Future Heirlooms
Future Heirlooms On-Line Order Form 01-2003 All Rights Reserved