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Victoria Cooper
47 Micahill Road
Levittown, PA 19056
(215) 943-4599
vmcooper@altavista.com
Fill this form out online and submit it online below - We will send you a bill. Or print and mail this form or print it blank and fill it out by hand. Remember to send payment with your order.
This form only works with Java Enabled Browsers

ItemQty.Price Ea. S&H
Bridal Money Bag $30.00 $4.00
Indicate Color: white or ivory - if sending swatch
Bridal purse $25.00 $4.00
Indicate Color: white or ivory - if sending swatch
Garter set $15.00 $3.50
Indicate Accent Color:
Ring Bearer Pillows $35.00 $4.50
Indicate: Colors: White or Ivory - Accent Color: - Shape
Gift Card Mailbox $75.00 $10.00
Indicate: Colors: White or Ivory - Accent Color:
Birdcage Card Holder $60.00 $10.00
Indicate: Colors: White or Ivory - Accent Color:
Gift Box Card Holder $45.00 $10.00
Indicate: Colors: White or Ivory
Christening Suit--Boy (shown) $195.00 $6.00
Indicate: Size and Style
Christening Gown--Girl (shown) $295.00 $6.00
Indicate: Size and Accent Color (if any)
Christening/Holy Communion Doll $50.00 $6.00
Indicate: Accent Color (if any)

Subtotal:
PA residents: please check box to add 6% sales tax. Sales Tax:
Shipping & Handling:
Grand Total:
Shipping cost is for continental USA

*required for online purchase
Name*:
Company:
Address*:
Address 2:
City*:
State*: Zip Code*:
Country*:
Phone Number*:
E-Mail Address*:
Comments: Use this area for special instructions.
Ex: Different Shipping Address.


Submit the order here and we will bill you
   

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