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Custom Made... Order Form
NOTE: SORRY -- but at this time the form below is NOT WORKING ... SO, please just e-mail with your order! We will send an invoice from Paypal and you can pay directly from there. We accept Credit Card Payments as well as Cash Transfers. Thanks

FName :
LName :
Shipping Address :
City :
State :
Zip Code :
E-mail Address :

Qty

Fabric

Size

Closure

Tassel

Price

				Yes
				Yes
				Yes
				Yes
				Yes

	Shipping 1 Tailbag	$ 2.00
	For each additional Item	$ 1.00
	ShooFly Fringe per bag add	$ .50
	Insurance (optional)	$ 1.30
		TOTAL DUE

For payment by Money Orders, make payable to and mail to Wanda Salvatore. Fill in the above order form and print a copy to be mailed to the address shown below. (Sorry ... NO personal checks!). ... If paying through PayPal, eMail us your order and pay to our eMail address. We accept credit card payments.

B & W Farm
4179 Treadway Road
New Smyrna Beach, FL. 32168-8947
(386) 423-0378 bwfarm@bellsouth.net