Chinlee Chang |
Personalized Handmade Ceramic Heirlooms |
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Important Ordering Information
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Please print this form and mail with payment to:Chinlee Chang Ceramic Design |
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Lettering: (print clearly) _____________________________________ _____________________________________ _____________________________________ Enclosure card to read: _____________________________________ _____________________________________ _____________________________________ |
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Ordered by: Name _____________________________________________ Address _________________________________________________________ City ______________________________ State __________ Zip ___________ Phone _____________________________ Fax _________________________ Email __________________________________________________________ Send to: Name ________________________________________________ Address ________________________________________________________ City ______________________________ State __________ Zip ___________ Telephone _______________________________________________________ Date: ________________ Signature:______________________________ |
Please make checks payable to: Chinlee Chang |
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