eye-b-nicey

Order Form (please print this page)

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Step One:

DATE: ____________________________________

NAME: ____________________________________

SHIPPING ADDRESS: _______________________

___________________________________________

___________________________________________

___________________________________________

PHONE NUMBER: __________________________

 

Additional Comments Here:

Step Two:

Make Check or Money order out to eye-b-nicey in the amount of $19.99

Step Three:

Mail completed form with payment to the following address:

eye-b-nicey
Post Office Box 650820
Vero Beach, Florida  32965-0820
Please allow ten days for shipping.
email us at eyebnicey@bellsouth.net