Fancy-Panties
order form
item
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embroidery:
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quantity
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Total
color
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price
placement of emb
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other instructions  
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Size
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sub-Total
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shipping
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Total
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shipping address
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shipping to USA  ----------           free
USA Priority Mail ---------         $5.00
Int. airmail up to 2 panties.....     $5.00
Int.airmail 3-5 panties ......          $8.00
Int. airmail more than 5 panties  
email
                                           me!
C. Steffan
980 Holmes Rd.
Silver Creek, NY  14136
mail to:
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item
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embroidery:
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quantity
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________
Total
color
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price
placement of emb
_________________________________
other instructions  
_________________________________
Size
_______
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item
_____________________________________
embroidery:
_____________________________________
quantity
_______
________
Total
color
_______
_______
price
placement of emb
_________________________________
other instructions  
_________________________________
Size
_______
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Thank you !
Credit card info:
name on card  __________________________
credit card billing  address (if different from shipping
address)
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card number:______________________________
               expiration date:_________________
            3 digit security code _____________