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To order:
Please fill out the below order
form, send a copy of order form along with your payment (I accept money
orders made out to Janae Matue or Visa and Master card) to:
The Country Hollow
Janae Matue
5055 W. 2150 N. Plain City, Ut,
84404
801-731-6262
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Order Number &
Description |
Total
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Subtotal
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Utah residents add 6.5%
sales tax |
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Total Due
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CREDIT CARD INFORMATION
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| Name on Card
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| Card Number
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| Expiration Date
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Card Type (Circle One) VISA MASTER CARD |
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CUSTOMER INFORMATION
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| Customer Name
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| Address
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| City State Zip |
| Home
Phone Work
Phone Email
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E-Mail "The
Country Hollow