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Melissa Dettwiller Merchandise Mail Order Form
Melissa Dettwiller 2251 FM 648 W. STE 110 #20 Dickinson, TX 77539 When ordering by mail please provide as much information as possible. Please fill out all information on this form to prevent any delay in your order. Your full mailing address is VERY important and so is your email address. I accept cash, money orders, & checks (please allow 2 weeks for check to clear before your order can be mailed out). Name (required): ____________________________________________________________________________ Mailing address (required):_____________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Phone #:_____________________________________________________________________________________ email (required):______________________________________________________________________________ FULL ITEM DESCRIPTION. Please be specific & write clearly! (required):___________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Comments:____________________________________________________________________________________ ______________________________________________________________________________________________ Number of items your ordering:________ Copyright © 2005 MELISSA DETTWILLER |