Connections Online Order Form


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Thank you for your support.

Please provide the following ordering information:

QTY       SIZE   Product No.  &   DESCRIPTION    PRICE
 
 
 
 
 
 
 
 
                        Purchase Order Sub-Total   
Shipping & Handling $6.00
                        Purchase Order Total 

Send Checks or Money Orders to

 

 

Connections: A Safe Place Online Orders              2602 Eden Avenue                                            Cincinnati, OH 45219

Please allow 2-4 weeks for delivery

 

 

 

Bill to:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Ship to:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
E-mail


Copyright © 2005 [Connections: A Safe Place]. All rights reserved.
Revised: 01/13/08