Product Description          UPC#                              Quantity

Mail Order Form: PRINT

Notes: Make payable to Dedrianne

SubTotal:

Tax: 8% in NY:

Shipping: TBA

Customer:

Address:

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Phone: ______________________________

Mail To:

Dedrianne's

167 Sunrise Drive

Plattsburgh, N.Y. 12901

518-565-8676

1-518-534-6207

E-Mail: dedriannes@yahoo.com

Total: