Enter your order information below, then print this form and fax or mail it.    FAX with credit card # and expiration date in US $ to 973-702-1619 or Mail with check or money order to: C.R. Creations  P.O. Box 75  McAfee, NJ  07428.  Do not email credit card information!

Name:
Company Name:
Address 1:
VISA, Master, American X #
expiration date
City:
State or Province:
Zip or Postal Code:
Country:
Telephone Number:
Your E-mail Address:
Date Item is needed

Item Number		 Description Quantity $ Ea. $ Total
Subtotal:
All Shipping $ 5.00  Shipping: $ 5.00
( 7 % - New Jersey residents only ) N.J. Tax:
Total  Total:

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