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Dee's Country Craftbarn
MAIL ORDER FORM

Items with * is required information.

BILLING ADDRESS
Mail Form To:
*Name: Dee's Country Craftbarn
*Street Address: PO Box 333
Apt# or P.O. Box: Pleasant Hill, Il. 62366
*City: PH: (217) 734-9458
*State:                                         *Zip Code:  
*Area Code:   (     )  Phone Number: __________________
*Email Address: __________________________________
Make Check or Money Order Payable to:
Dee's Country Craftbarn
SHIPPING ADDRESS
I will gladly ship your order to a different address.  Please enter the address here.  If ship to address is the same, leave this area blank.
Name:
Street Address:                                                                                                         Apt# or P. O. Box:
City:                                                                            State:                          Zip Code:
Product
Number
Product Name
Color
Qty
Unit Price
Total Price
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Illinois Residence please add 5% Sales Tax.  Allow up to 2 weeks for Domestic Delivery. 
If  Ship To address differs from Illinois Billing Address, sales tax is still applicable.
Priority Mail:  Would you like your order shipped Priority Mail:  [  ] YES  [  ] NO
Subtotal            .
5% Sales Tax            .
Shipping            .
Total Amount            .
Customer Comments and Special Instructions
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*Method of Payment (choose one)

[ ] Check  [ ] Money Order