In Stitches: Center for Liturgical Art
Order
Jesus DollTM
Form
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Name
_________________________________________
Address _______________________________________
City
State Zip ___________________________________
Telephone ~ Work ____ _____ ______ Home ____ _____ ________
If this order is a gift, please check here and indicate a confidential phone number where we might reach you if necessary:_____ Phone: ________________
Shipping address, if different from above Name__________________________________________
Address ________________________________________
City State Zip____________________________________
Method
of Payment: ____ Check ____Money Order ____ VISA
____Master/Card _____Discover
Card No. ______________________________________________
Expiration Date: __________
Three digit security code __________
Any
Special Instructions___________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Item Number Price
___Jesus Dolltm
$65
Shipping Cost
DOLLS: 1 Doll = $9 ~ 2-3 Dolls = $12 ~ 4-6 Dolls = $15
Sub Total _______________
Shipping Cost ___________________
Total Amount Due __________________
In
Stitches Center for the Liturgical Arts
17092
Sunset Drive
Chagrin Falls OH 44023.
Fax 888.691.1723 Email order@institchescenter.com
Phone 888.683.7074 or 440.543.7128