Lucy Goosey's Order Form
Name:
Address:
Phone: (
)
Make checks or money orders payable to:
Kristi Neiman
send to:
Lucy Goosey's Closet
P.O. Box 352
Lyndora, PA.
16045
ITEM #
DESCRIPTION
QTY.
PRICE
AMOUNT
SHIPPING CHART
1 to 3 outfits...$4.00
(* per address shipped to)
Subtotal
Shipping & Handling
TOTAL DUE
Allow 1-2 weeks for shipping.
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