**CHECKS & MONEY ORDERS MUST BE MADE PAYABLE TO: ANNETTE BRADLEY; Mail to: P O Box 70, Clinton, CT 06413
Email: primpeddler@aol.com
Phone: 860-664-1880
Customer Order form
Click to Print this page
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Customer Name

 _________________________
Date
_____________________
   

Shipping Address

_________________________

_________________________
Telephone
_____________________
   

City/State

 _________________________
Zip Code
_____________________

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Item Name Qty. Description Total


     


     


     


     
   

 
   

 
Shipping & Handling:

Total
__________
S & H
__________
Subtotal __________
CT residents add 6% sales tax
__________
Grand Total
__________

 

Please send check or money order to:

Annette Bradley
P O Box 70
Clinton, CT 06413

Please allow 2-4 weeks delivery
Notes:




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