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Needlecraft Super Shop Order Form

Name:_______________________________
Street Address:________________________
City:_____________State:_____Zip:_________Daytime Phone:_____________
Method of Payment:
Check

MasterCard

MO

American Express

Visa

Credit Card #

Exp. Date

Signature

QTY

ITEM #

DESCRIPTION

PAGE

PRICE EACH

TOTAL AMOUNT

SUBTOTAL
SHIP & HANDELING
TOTAL

$4.90

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