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AVA BARBER ORDER FORM

1. PRINT THIS FORM (Go to File->Print in your menu bar)
2. ENCLOSE MONEY ORDER (payable to "Ava Barber", no cash please)
3. WITH THIS COMPLETED FORM AND MAIL TO:

        MS. AVA BARBER
        P.O. Box 1477
        Pigeon Forge, TN. 37868                  **Please allow 4-6 weeks for Delivery**

Name: _____________________________________________

Address: __________________________________________

City: _________________________ State: ____ ZIP: _______

 

Color
Code

Quantity

Clip
Earrings

Pierced
Earrings

Bolo
Ties

Pins

Total
     

$15
each

  

$15
each

  

$15
each

  

$10
each

  
     

$15
each

  

$15
each

  

$15
each

  

$10
each

  
     

$15
each

  

$15
each

  

$15
each

  

$10
each

  
     

$15
each

  

$15
each

  

$15
each

  

$10
each

  
     

$15
each

  

$15
each

  

$15
each

  

$10
each

  
     

$15
each

  

$15
each

  

$15
each

  

$10
each

  
     

$15
each

  

$15
each

  

$15
each

  

$10
each

  
     

$15
each

  

$15
each

  

$15
each

  

$10
each

  
                     
            Shipping & Handling

$4.00
           

TOTAL ENCLOSED

  

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