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Date:   /  /20..
Merchandise Mailed To: First Name: Last Name: Company's Name: Street Address: 2-Address: City: State: Zip code: Country: Day-time-tel#:( ) Merchandise: Geo(s) title(+) (geometric number(s)): Price(s):$ Free Shipping and handling Geo(s). If more than two ordered, include shipping:$ Book set(s). If more than three ordered, include shipping:$ Plus Taxes(NY=8.625%)where applicable:$ Total charge:$
Note: The purchases of Ellie's artworks, do not include copy rights. All sales are final, no returns are accepted or
refunds are made on any of Ellie's artworks. Mark here _____ that you have read and understood the
"Art Tranfer Title Agreement" Click and the customer' info.( see below).
After you have chosen the geo, write its number here_______and Mail or eMail this form to me, so I
know which design, I should mail you.
to:GrandMa's, Inc.
%Mrs. Ellie Kondy
73 King Street,
Floral Park, NY 11001
My email:ellie4@basicisp.net
Feedback:________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Gallery Customer Info 100% Tax Deductible Holiday Gifts Ways to Pay

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Copyright @ 1996/2016, Ellie Kondy