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PURCHASE ORDER FORM
The Creative Mushroom
Claire & Myles Horton
84 Country Estates Drive
Horseheads, New York 14845
Phone: 607-739-0452
E-mail: ScentPots@HotMail.com
Orders must be accompanied by check or Money Order.
Shipping Information: (PLEASE PRINT)
Name:
 _____________________________________
Address:
 _____________________________________
_____________________________________
Phone:
 _____________________________________
E-mail:
 _____________________________________
Item #
QTY 
Color
Description - Style & Pattern
Price
Shipping
Total
             
             
             
             
             
             
             
             
             
Mdse. Total:
 _______________
NY Sales Tax (7%):
 _______________
Shipping:
 _______________
Amount Due:
 _______________
    Your order may be called in, we will start working on it, and when finished will ship it as soon as we receive the money order or your check clears. We ship US Post Office or UPS and all packages are insured . We appreciate your business. Thank You for visiting our site.
                                                                           Claire & Myles Horton

Webmaster: Adam Kress (2001)
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