Date:
____________________ Name: _______________________________________
Address:
______________________________________
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Email:
_______________________________________
(In case of a problem with your order.)
Pattern # Description
Qty $ per Total
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Subtotal ________
Texas
residents please add 8.25% tax Tax
________
Please see my shipping page. Shipping
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Total ______
Please mail to :
The Mantua-Maker
100 PR 232
Abbott, TX 76621
