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To Order Stamp Art

Print out this file
For each desired item, check to left of order number
Total the number ordered in each price range
Fill in form below
Many stamp art themes are special orders. Allow 4 to 6 weeks for delivery.

Ship to:

Name ____________________________________________________

Company Name (if any) _____________________________________

Address _______________________________Suite/Apt ___________

City__________________________ State_______ Zip ____________

Phone number (__________) _________________________________

email: ____________________________________________________
Please provide phone number and email in case we have questions regarding your order. We will keep this information confidential.

Card to read: ______________________________________________

Payment by ___ Check No. ______________
Payment by ___ Credit Card (complete form below

Mail order with payment (credit card, check or money order) to DFW Net Mall, P O Box 610314, Dallas, TX 75261.
Fax with credit card information or copy of check to 817 868-0855.

Credit Card Authorization
Please print neatly

I authorize Voice Connections to charge my ___ MasterCard ___ Visa ___ American Express
Account number _____________________________ Amount: $_____________________.
Expires ______ / ______ / _______.

Signature: ___________________________________ Date: ___________________

Please print:
Billing Name: __________________________________
Billing Address: ____________________________________________ Suite ____________
City, State, Zip: ____________________________________________________________

If using credit card for payment, you may fax this form to 817 868-0855 or mail it to DFW Net Mall, P O Box 610314, Dallas, TX 75261.

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