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Lollipop Publishing Mail-in Order Form
(Click
Here to Close after Printing)
Click Icon to Print this Page!
(
Click
Here
for Shipping Rates)
| Billing Information: | Shipping Information: (If Different than Billing) | ||||
| Name: ______________________________________ Address: ____________________________________ City/State/Zip: _______________________________ Phone/Fax: __________________________________ Email: ______________________________________ |
Name: ______________________________________ Address: ____________________________________ City/State/Zip: _______________________________ Phone/Fax: __________________________________ |
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| Product: | Price: | Qty/Selection(s): | Total: | ||
| BIBLE VERSE ABC’s WITH THE COBBLEKIDS | 18.95 | __________ | $_______________ | ||
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PRINTS: |
11.95. |
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| Custom
Framed Print: **In your choice of frame colors: Hello (Y)ellow, (B)lack Licorice, Snowball (W)hite, Wagon (R)ed, Grape Jelly (P)urple, Grouchy (G)reen LOVE MELODY NEAR YOU |
49.95 |
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NOTE CARDS.........Ten
per box |
4.95 |
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| STICKERS..............Two Pages per Pack | 3.50 | __________ | $_______________ | ||
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BOOKMARKS: |
2.25 |
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NOTEPADS: |
3.50 |
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POST-IT NOTES:
|
2.75 |
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T-SHIRTS....Six
Sizes |
16.00 |
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CUSTOM GIFT CARDS: |
2.00 | __________ | $_______________ | ||
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_____________________________________ |
Sub-Total | $_______________ | |||
| Shipping | $_______________ | ||||
| Missouri
Residents (Tax 7.325%) |
$_______________ | ||||
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ORDER
TOTAL:
|
$_______________ | ||||
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PAYMENT TYPE: Check _____ Money Order _____ Credit Card _____ Credit Card Information:
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LOLLIPOP
PUBLISHING, L.L.C.
P.O. Box 6354 - Chesterfield, MO - 63006-6354
Toll Free: 1-800-383-7767 - Fax: (314) 434-6040