Where
Victoria's Angels Stitch
Order Form
WHERE VICTORIAS ANGELS STITCH
658 Allwood Road, CLIFTON, NJ, 07012
Ph. (973) 778- WVAS (9827)
Fax: (973) 778-9807
Please print and fill out, then MAIL or FAX this form.
Name
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Date |
Mailing
Address
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Method
of Payment
[ ] Check or Money Order
[ ] Mastercard
[ ] Visa |
| Signature
of Credit Card Holder |
Credit
Card Account Number
__|__|__|__ - __|__|__|__ -__|__|__|__ - __|__|__|__
Expiration Date __|__|__ - __|__| |
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Price
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