| Print this form and mail money order or check
payable to: Country Glow Soy Candles
1129 Ginkgo Rd
Portsmouth, IA
51565
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Print Order Form
http://www.countryglowsoycandles.com/
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Day Time Phone (712) 744-3266
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Please
include name, address, email and telephone number on
all correspondences
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| Name: |
Use this space below for comments or requests |
| Address: |
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| Email: |
| Phone:
( ________________ ) |
| Product |
Description |
Quantity |
Total |
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Total
Items: |
Sub
Total: |
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| Thank You
For Your Order! |
Email me for shipping charges diane@countryglowsoycandles.com
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Shipping
&Handling |
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| Your Order
Will Be Processed After Reciept Of Payment. |
Personal checks must clear the bank before processing order. . |
Total: |
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