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ORDER FORM |
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2008 PAGEANT MERCHANDISE: |
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| Pageant Weekend DVDs | ____________ | x $81.55 = | _____________ |
| Pageant Weekend VIDEOS | ____________ | x $70.90 = | _____________ |
| Mrs. Program Book | ____________ | x $10 = | _____________ |
| Teen/Miss Program Book | ____________ | x $10 = | _____________ |
| Contestant T-Shirt
Circle Pageant: Teen Miss Mrs Circle Size: S M L |
____________ | x $20 = | _____________ |
| Subtotal | _____________ | ||
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| SHIPPING: | |
| Name _________________________________________ | |
| Address _______________________________________ | |
| City, State & Zip ________________________________ | |
| PAYMENT METHOD: |
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| Circle One: Money Order Personal Check Cashier's Check Visa MasterCard Discover Card American Express | |
| Name on card __________________________________ | |
| Card Number __________________________________ | Exp. Date _____________ |
| Signature ______________________________________ | Date _________________ |
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