Needlework Emporium

                                   Order Form

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If you would like to place an order please complete the following information and click on Submit. Alternatively, you may wish to fax or email your order, including the information requested below.

Please do not provide payment information at this time as we will obtain that information at the time we contact you by phone to confirm receipt of your order and pricing information.

Order Information:

Product Description          Qty           

              

              

              

              

              

              

Delivery Details:

Name

Company

Delivery Address

City, Post Code

State, Country

Telephone

Mobile

Fax

E-mail

Comments:

Send mail to debbie@needleworkemporium.com.au with questions or comments about this web site.
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