Pepe's Store Order Form

Please fill this out with the products you would like and we will contact you with payment method options or you can fax this form to us.

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Please provide the following contact information:

Name
E-mail
Date

Please provide the following ordering information make sure to include the color and size that you would like:

QTY	DESCRIPTION

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Copyright © 2007 [Pepe's Cafe]. All rights reserved.
Revised: January 25, 2007