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CC'S FUNDRAISING ORDER FORM

 

Name__________________________________________________________________

 

Address________________________________________________________________

 

CITY_____________________ST_________________________ZIP__________

 

Phone Number______________________________

 

E MAIL ADDRESS_______________________________________________________

 

BILLING ADDRESS   _____SAME AS SHIPPING

 

Name___________________________________________________________________

 

Address________________________________________________________________

 

CITY___________________________ST.__________________ZIP__________

 

Phone Number___________________________________________________________

 

 

CHARITY FOR DONATION_______________________________________________

 

 

ITEM#             DESCRIPTION                                               QUANTITY        TOTAL

 

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________________________________________________________________________


________________________________________________________________________

 

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

credit card number___________________________________exp date_______________

 

total amount charged_______________________________________________________

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