FLORENCE NIGHTINGALE ONLINE ORDER FORM

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* means required field must be filled in.

*Date:

*Name:
*Shipping Address:

*City: *State: *Zipcode:

*Phone Number: Fax Number:
*E-Mail Address:

Charge to: VISA MasterCard American Express
*Card number:
*Expiration date:


(Filling out this form does not automatically create an order. Use it for manually entering data only.)

ITEM DESCRIPTIONUnit PriceQuantityShipping and
Handling
VA Residents add
4.5% sales tax
TOTAL
Florence Nightingale
17" Doll
$145.00 $10.00


PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.


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email: dolls@ushsdolls.com