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Please use this form only if you do NOT want to pay by credit card. |
| Please print out
and complete this form
and mail it with a Money Order (sorry, we cannot accept checks at this time) for the full amount to: |
|
A Small Work of ArtŪ,
242 Meadowlark Drive, Tryon, NC 28782-2516
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| Name:
__________________________________________________________
Street Address:___________________________________________________ City:__________________________________ State:_____ Zip:____________
|
| Important:
Daytime
Phone:___________________________________________________
Evening
Phone:___________________________________________________ |
| SHIP TO information (if
different):
Name:
__________________________________________________________ Street Address:___________________________________________________
City:__________________________________ State:_____
Zip:____________
|