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Order Form for Payment by Check and Money Order
Item No.

Description

Color

Quant.

Price each

Total

           
           
           
           
           
           
           
           
Subtotal  
MD residents add 5% sales tax  
Shipping & Handling **  
Grand Total  

** via USPS First Class Mail (see our Shipping & Handling policy for more details)



Shipping Address
First Name 
Last Name 
Address 
City 
State 
Zip Code 
Country 
Daytime Phone 
E-Mail Address 

Billing Address (if different)
First Name 
Last Name 
Address 
City 
State 
Zip Code 
Country 


Please check one payment option: __ Check __ Money Order
(you will receive information by e-mail)

Please return completed order form(s) and check or money order made payable to Tsarina and return to:

Tsarina
11950 Park Heights Ave.
Owings Mills, MD   21117
 
Please contact info@tsarinaonline.com with questions. Thank you for your order!
 
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info@tsarinaonline.com

Copyright © 2001 Tsarina

Last modified: June 24, 2001

All rights reserved.