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Orders will not be processed without payment.  Order #:  130163068
Mail to: BJ's Craft Supplies, 203 Bickford Rd., Tivoli, TX 77990-4546
Fax your order to:              361- 286 - 3719
(Please Print Clearly)
Name:_______________________________________________________________
Shipping Address: ___________________________________________  Apt.# ______
City: ________________________________________  State:  _____  Zip: __________
Date: _____________________     Area Code and Phone #: _______________________________
Email address:__________________________________ (If we have questions about your order)
Qty
Ordered		 Item # Color # Description Color
Name		 Price Each Total
 If an item is not currently in stock: (Please check one)
  [  ] Backorder item - Hold order and ship all together Sub Total
  [  ] Backorder item - Ship everything else now Tax (if applicable)
  [  ] Cancel order for item not in stock Shipping (see table)
 Credit Card #:
 Credit Card Billing Address:  
   
 CVC # on back
of Credit Card:		 ExpDate Total Due:
I acknowledge that I have read and agree to be bound by the terms and conditions set forth at www.bjcraftsupplies.com/help/terms.asp.
Signature:
           Prices and quantities subject to change without notice. Minimum order amount: $5.00
Omission of any information requested on this order form may result in the delay or inability to fill your order. Please include all information requested. We strongly recommend that you insure your package to protect your order. Lost packages and breakages do occur. Please see our site for insurance charges. We are not responsible for any lost, delayed, misdirected or damaged orders incurred during shipping, regardless of how or with whom they are shipped.
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