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Huntington Beach Internet Designer
Product Order Form
Product Selection:
This order form is to give us an idea of what items you are interested in purchasing. Please fill out the necessary information so we can send your order ASAP. You may use the comments box at the bottom of the page to make any remarks or specific instructions. We will be contacting you to confirm your order. Thank You, Stephen & Rachael
List Item Number(s):
List Color Swatch Number(s):
Quantity of Crochet Hats:
Size of Hat:
Number of Stripes on Crochet Hats:
Quantity of Scarf Sets
Quantity of Hemp Items
Quantity of Glass Charms
Quantity of 4 Leaf Clovers
Quantity - Cool Stuff Page
Quantity - Other Custom Order
send attachment here
Are you an California resident?
No Yes - California adds 7.25% tax
Address:
First Name
Last Name
Address 1
Address 2
City
State
Zip
Phone
Cellular:
Email Address
Website Address:
Credit Card
Card Number
Expiration




301 Main Street
Huntington Beach, CA 92648
Stephen: (714) 785-7247
Rachael: (714) 785-7246
[email protected]

Office Hours
Mon. Thru Thurs.  11am - 7pm
Fri. Sat. and Sun. 10am - 9pm
Our hours may vary.
Mail Address
Hosted by www.Geocities.ws

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