Customer #                               Date

Alcraft
Egg Artistry, LLC

 

P.O. Box 297
Brookfield, OH 44403
Phone (330) 448-1573
Fax (330) 448-8319
E-mail: alcraft@cisnet.com

 Mailing Address

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Shipping Address

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Phone E-mail 

Web Page #

Quantity

Size or
Item number

Description

Unit Price

Total

               
               
               
               
               
               
               
               
               


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Card #:

Expiration date

Security #  (3 digit-back of card)  _________

Merchandise Total

   

Ohio Residents add sales 6.75% Tax

   

Shipping & Handling

Minimum Shipping Charge is $ 7.15

   

Total