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Fax or Mail your order using the order form below
We have found the best way to do this is print out the entire page, fill in the necessary information and send by
- Mail to: Raskal LLC, 27 Tanglewood Drive, Norwich, CT 06360 USA
- Fax to: 815-333-1252 Questions: 860-887-1581 or john@web-plaques.com
Date:________
Your Full Name:_________________________
Shipping Address:_______________________________________________
City:___________________State or Province:_____________ Postal Code:__________ Country:___________
Your Phone # : ________________________ Email______________________
Name and Address as it appears on the credit card:
Your Full Name:____________________________________________
Shipping Address:____________________________________________
City:_____________State or Province:______________ Postal Code:____________Country:____________
Your Credit Card # __________________________ Expiration Date:_______ 3 digits on back of card _______
Today’s Order
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Your URL
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Total Ordered
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Price
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Sub Total ______________ Call 860-887-1581 or e-mail john@web-plaques.com for Shipping Total _____________ Total ______________
Comments or description _____________________________________________
Payment: [ ] Check enclosed [ ] Money Order Enclosed (USD)
Send to: John Bogdanski c/o web-plaques, 27 Tanglewood Drive, Norwich CT. 06360. Fax to: 815-333-1252 If you have any questions or if I can help you in any way, please drop me a note at john@web-plaques.com or call 860-887-1581
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