Order Form - Dakota Mae Design - Classic Beaded Jewelry Styles

Classic Beaded Jewelry
P.O. Box 18377, Minneapolis, MN USA 55418-0377
Tele: 612-781-4541
Email: Cindy@DakotaMaeDesign.com

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Order Form

To place your order press your print button, Print out his form, fill it out and send CHECK, OR MONEY ORDER (ORDERS OUTSIDE THE USA MUST BE PAYABLE IN US FUNDS) and mail this form to:

Dakota Mae Design
P.O. Box 18377
Minneapolis, MN 55418-0377

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(Print clearly in dark ink).

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Detailed Discription Of Requested Jewelry Piece(s): _______________
___________________________________________________________________

___________________________________________________________________

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Quantity & Amount Of Order:_______________________________________

Name: _____________________________________________________________

Address:___________________________________________________________

City/State/ZIP:____________________________________________________

Your email address: _______________________________________________

Telephone Number: _________________________________________________

FAX Number: _______________________________________________________

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Thank you for your order!

DakotaMaeDesign.com

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For custom designing & mail orders
E-mail to: Cindy@DakotaMaeDesign.com
or call at 612-781-4541 or visit a show