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Please print out this form, fill in and mail to the address
below. Please print information clearly so we can make
sure your order arrives quickly.
Note: Due to the limited quantities and high demand,items may
be held upon request but not guaranteed. Orders are
fulfilled upon payment, on first come, first served basis.
Dotty Rose Corporation
1031 Ives Dairy Road, Suite 228
Miami, FL 33181
info@dottyrose.com (305)459-0753
Please make checks & money orders payable to:
Dotty Rose Corporation
PayPal payments accepted as well!
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Ship To:
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Name____________________________________________________________________
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Address__________________________________________________________________
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City_____________________________________State___________Zip______________
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E-Mail____________________________________Telephone_______________________
E-mail info@dottyrose.com for shipping and payment information.
Please specify the country from which you are contacting us,
so that we can give you accurate shipping information.
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Item Description
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PRICE
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QTY.
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TOTAL
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SUBTOTAL
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SHIPPING AND INSURANCE (Determined Per Order)
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TOTAL
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