Patch Abilities - Printable Order Form

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Print this form for easy mail order. Complete your order, send along with your check, money order or Credit Card info to:

Patch Abilities
1490 Village Creek Dr.
Lansing, IA  52151
voice: 563.568.5352  fax: 563.535.5353
patchabilities@acegroup.cc

All patterns $6.50 retail (unless otherwise given).  $40 minumum order

QTY PATTERN NAME PRICE TOTALS
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Shipping charges will vary, please contact me for exact amount.
U.S - will be UPS Ground    CANADA - will be Global Priority		 Shipping  
 ALL Orders Prepaid, U.S. funds only please
CREDIT CARD INFORMATION
Name on Card -                                                                              
Card Number -                                                                                  Exp. Date - 
CUSTOMER INFORMATION
Customer/Shop Name -
Address -
City -                                                          State -                     Zip Code -
 Shop Phone # -                                          Email Address -
Resale Tax ID-

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