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Notso Ordinary Jewelry
7812 SE Reed College Place
Portland, OR 97202

ORDER FORM

From:
Name:_______________________________________________________________
Address:_____________________________________________________________
Address:_____________________________________________________________
City:___________________________State:_____________Zip________________


Ship to: Above address_______ or Other______________

Notes:________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Please include e-mail address (for questions we may have on your order:)
Your e-mail address:_________________________________________________
Items for Purchase:
Description & Color...................Number..........$Price(each)..........$Sub-Total
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
........................................Enclose check for order = Total.$________________
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