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Wiggoddess.com

Order Form

QTY Name of Piece Color Price Total Price
 

 

       
 

 

       
 

 

       
 

 

       

Name_______________________________

Shipping Address___________________________________________

Phone Number_______________________

Email Address____________________

Payment Method

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Visa Card #___________________________________EXP____________

MasterCard #_________________________________EXP____________

 

Shipping is Free within the U.S.  Please add $21.99 for shipping outside the U.S.

Please send order to

Clare McAfee

89 Karl Circle

Berlin, VT  05602

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