Blue Rose Bridal Boutique Order Form for Money Order Only
                                                        PLEASE PRINT CLEAR
                                                                       
Name:
Address:    
City:         
State:      
Zip Code:  
(IMPORTANT) E-mail:                                                                       

QUANTITY              DESCRIPTION                                             UNIT PRICE                AMOUNT

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SUBTOTAL  :                                                                   
SHIPPING  :   
See Chart Below for shipping costs                   
TOTAL DUE :                          
*Please Email me to let me know that you are sending a Money Order --- csaxrud@yahoo.com
For shipping charges, please use chart                                                      Shipping Charges
Make Money Order payable to: Cheryl Saxrud                                        $6.00
Print & Mail to:
Cheryl Saxrud                                                                                         
5753 Harriet Ave So
Minneapolis, Mn. 55419