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Order Form

Be sure to fill in all shipping information when faxing in this order form.

 

The Pattern Peddlers

113 Main Street,  Nevis, MN 56467

 

Telephone:  218-652-3713  Toll Free - Orders Only: 800-845-4508  Fax: 1-888-756-0585

 

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Name:______________________________________________Date:______________

Address:____________________________________Telephone#_________________

City____________________________________________State________Zip________

                                                     Shop Owner's Name______________________________  Acct # ________________

                                                     Email address:__________________________________________________________

                                                     Credit card #____________________________ Exp.date ________ Sec. code______

                                                                            (Visa or Master card only)                                                                                   

                                                      Item #         Qty.                            Title

                                               

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