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Mail Order Form

Directions: You may complete the following order form in one of two ways. 1.) Type in the entries below and click "Print" in your computer's browser. Then mail to me with your payment. 2.) Or, you can print this page as is (blank), fill in by hand, and mail to me with your payment. Note: I'm sorry, but I do not accept personal checks.

Mail form to:
Dimples and Curls
Attention: Kelly Cox
223 Wagon Wheel Trail
Thomasville, GA 31757
Phone orders may be placed at:
(502) 515-7894


Date:
Name:
Email Address:
Mailing Address:
City:
State or Province:
Postal Code:
Country:
Daytime Telephone Number (please include area code):
Re-enter Telephone Number:
Best time of day to call:



To ship to optional address, please complete the following information:
Name:
Street Address:
City:
State or Province:
Postal Code:
Country:


Product Name Quantity Color Bow Size Loop
Quantity
 (if
applicable)		 Cost
Each		 Total
SUBTOTAL
SHIPPING &
HANDLING
TOTAL


Comments/Special Instructions:

Click Here to Print This Page

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