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									Samantha’s What-Nots Order Form
Order Number
Date
Date promised

    Address
Sold To                                  Ship To




Phone                                    Ship By



 Quantity                    Item/Description                Price/Item        Subtotal




                                                                Sales Tax

                                                                     Total

                                                        Shipping Charge

                                                             Amount Due

We accept Certified Check, Money Orders, Master Card and Visa. Also you can order thru pay
pal

								
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