“Two Raggedy Sisters”                  

    211 E Main DuQuoin, ILLINOIS 62832

            To order: Just Print and Phone,  Fax  1-618-542-6644  or

        e-mail: raggedysisters@mail.com

 

                 BILL TO:                                                                 SHIP TO:

 

 

                       Name:________________________________________   Name:_________________________________________________

 

 

 

 

                                                                              Address:                                                               _      Address:____________________________________________________________

 

                      City/State/Zip                                                                       ___________       City/State/Zip______________________________________________________

    

                      Phone:                                                                                     ___________

 

                      E-mail:                                                                                      ___________

 

We

           

                   

Name on Card

               Master Card or Visa

       Tax ID #

 

Amount

Description

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                  Shipping

 

 

 

 

 

 

   Miscellaneous

 

 

 

 

 

 

 Balance due

 

We Also Have Gift Certificates!  Thanks for Your Order!