HugsAndStitches.com

~Please completely fill out the information below & fax to 888-522-7140~

~*~Please note: Shipping charges will be added after your order has been packed and weighed~*~

**Billing Address & Payment Information**


If paying by credit card the address listed here must match the address on your credit card statement

Name:  
Address:  
Address:  
State, Zip:  
Phone Number:  
E-Mail:  
Payment (Circle): Visa/ MC   Discover   AMX                 *NO Personal or Business Checks, They Will Be Voided and Returned*
Credit Card # :  
Expiration Date:  
CVV2# (3 digit # on back):  
Signature:  

**Shipping Address**

If different then billing address

Name:  
Address:  
Address:  
State, Zip:  

~*~Please note: Shipping charges will be added after your order has been packed and weighed~*~

~*~Please Be Sure To Include the Item Number & Quantity For Each Item Ordered~*~


All Michigan Orders Must Include 6% Sales Tax

Quantity

Item Number

Description

Price Each

Total

         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
   

Sub Total

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Michigan Residents add 6% Sales Tax

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Order Sub Total BEFORE Shipping

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(o: Thank you for your order, we will e-mail you your order total with shipping and the date your order will ship :o)