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| ORDERED BY: |
| Name |
| Street Address |
| City |
| Daytime Phone ( |
| E-mail |
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SHIP TO: If different from Ordered By Address. |
| Name |
| C/O |
| Business |
| Street Address |
| City |
| Gift Message: |
| CODE | QTY | DESCRIPTION | MAT COLOR |
FRAME TYPE |
FRAME COLOR |
PRICE | |
| 1 | |||||||
| 2 | |||||||
| 3 | |||||||
| 4 |
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| METHOD OF PAYMENT |
| Check |
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Account Number (Please include all the numbers on your credit card) |
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Expiration Date |
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Security Code (3 digits for V, MC, D & 4 digits AE) |
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Signature |
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Please print name |
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HOW TO ORDER
Contact us by email, regular mail, or telephone (we travel and this is not a reliable communications tool). Literary Calligraphy, 5326 White House Road, Moneta, VA 24121 Tel: 540-297-7938 E-mail: mail@literarycalligraphy.com
ENGRAVED PLAQUES
ADJUSTMENTS, CLAIMS & RETURNS
GUARANTEE
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