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Blue Tree Gallery Order Form
Print this order form and fax or mail to:
503-738-9962 (fax)
Blue Tree Enterprises
81080 Hamlet Road
Seaside, OR 97138
Name _______________________________________________________________________
Address _______________________________________________________________________
City ___________________________________ State __________ Zip ______________
Telephone ____________________
Fax ____________________
Ship to (if different from above):
Name _______________________________________________________________________
Address _______________________________________________________________________
City ___________________________________ State __________ Zip ______________
Payment Method
Enclose your personal check, money order (U.S. funds only). Or enter charge card
information. Please do not send cash.
__ Check __ American Express
__ Visa __ MasterCard
Acct. No. __________________________________________________________
Exp. Date _________ Signature ______________________________________
Product Number Qty. Price Total
_________________________________ _______ _________ __________
_________________________________ _______ _________ __________
_________________________________ _______ _________ __________
Total __________
Thank you for your order.
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Blue Tree Enterprises
Hamlet, Oregon
(503) 738-9961
info
Copyright-Blue Tree Enterprises, 2002
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