Rhonda L. Horvath
N5515 Hwy 44-49, Brandon, WI 53919
920-346-5684 or 1-877-RAGSPUN(724-7786) Fax: 920-346-2345
www.ragspunquilting.com
Date: ____________________________ New Acct: Y/N
Store Name: ___________________________________________ Tax ID#: ________________________
Contact & Title: _________________________________________________________________
Bill to Address: _________________________________________________________________________
Ship to Address:_________________________________________________________________________
Phone: ____________________________________________ Fax: _______________________________
Email Address: ___________________________________________________________
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Payment Method: ___Cash Subtotal: ______________ Special Notes:
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