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Our Father Bead Caps: Yes_____ No ______ |
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Payment Method *Check or money order enclosed_______ Make Payable to: CustomRosaries.com Gift Certificate______ Certificate #________________________ Visa __ MasterCard__ American Express__ Discover__ Name on Card ____________________________ Card Number _____________________________ Expiration _____________________________ Signature _________________________ *checks are subject to a 10 day hold until bank clearance* |
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ORDERED BY: Your Name:________________________________________ Street Address:______________________________________ City / State / Zip:____________________________________ Phone:__(________)_________________________________ E-Mail____________________________________________ |
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Select from online catalog, then specify your choice below. |
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Full Rosary Hail Mary Beads: |
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Mail To: CustomRosaries.com P.O. Box 291 Coppell, TX 75019 Fax To: (877) 844-4916 |
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Crucifix & Center Choice: |
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Misc/Options ( Full Rosary Bead Caps and/or 14 kt Gold Rosary Parts, or Gold-Filled Full Rosary, Sample Beads, Spacer Beads, Rosary Cases, Premade Rosary): |
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SHIP TO: (If different than ORDERED BY) Name:________________________________________ Address:______________________________________ City / State / Zip:________________________________ |
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Our Father Beads: |
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Call Toll-Free: 1-877-844-4916 8 AM-8 PM, EST, MONDAY-SATURDAY Please have this completed Order Form in hand when calling. This is an order only line; for questions, e-mail us. |
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Note: Write any special instructions on a separate sheet, and fax or mail with this order form. |
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CustomRosaries.com Finest Custom Designs |
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* Shipping, Handling & Insurance for the Virgin Mary Statues varies with size. |