Blank Rain Check Form by liferetreat

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									RAIN CHECK

Date ISSUED TO: CUSTOMER ORDER # NAME ADDRESS CITY TELEPHONE

STATE

ZIP

WE'RE SORRY !
The items listed below are back ordered . When they arrive,we will notify you and arrange for pickup.
QTY ITEM BACK ORDERED PRICE AMOUNT

If you have any questions please contact our customer service department CUSTOMER COPY


								
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