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The   Brown   Rabbit
Calligrapicture Order Form
You are visitor number
Your Name:_______________________________ Phone # _______________________

Billing Address

Address: ________________________________ City: ______________ State:_____

Zip: __________

Shipping Address (If different from billing)

Name: _____________________________ Address: __________________________

City: ____________________ State: ______ Zip: _____________

Design: ___________________  Name to Be Used: ________________________________

Color Preferences: __________________________________________________________

Design: ___________________ Name to Be Used: ________________________________

Color Preferences: __________________________________________________________

Price: $40 each plus $5 flat shipping rate

Pre-Payment Required:  Total Enclosed $______    Check__ Money Order__

Please mail order form and payment to:
The Brown Rabbit
P.O. Box 126
Paxico, KS  66526-00126

Questions? (785)636-7550
or susan@thebrownrabbit.com
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To order by phone, please call Susan at 785-636-7550.
To print and mail an order form, please click here.
Gift Message: _________________________________

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