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Magnetic Room Planning Kit Order Form

Name ____________________________________________

Address __________________________________________

City, state, zip _____________________________________

Phone (        )______________________________________

Credit Card Info_________________________(VISA, MasterCard and Discover) accepted

Expiration Date ________________

3 digit code on back ____________

*If using a credit card, address and zip code must match above credit card holders info.

If paying by check or money order, send to:

Loring Interiors
275 Market Street, Suite 515
Minneapolis. MN  55405
Fax:  612 317-4603

Ship To:__________________________________________

Address __________________________________________

City, State, Zip _____________________________________

Phone (        )______________________________________

 

Number of Kits ______________X  $49.99 = _____________

Shipping and Handling # of kits ______ X  $ 8.00 each kit = __________

For shipping outside the US, email us at:  Loringinteriors@prodigy.net 

 

                                                                                                                                        Total =_____________

 

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