Elegant Egg Creations Order Form

 1820 Perkins Ridge Road

Telephone: 207-782-3846

Toll Free: 866-905-6836

Fax: 207-782-3145

Auburn, ME 04210

E-mail: elegant.creations@roadrunner.com

Full Name: _________________________________________ Date: ______________

Mailing Address: _________________________________________________________

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Shipping Address: _______________________________________________________

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Check if First Order

Check if Change of Address

If item is Out of Stock:

 Back Order       Substitute        Cancel That Item

Please Bill to My Visa- Master Charge

Check #: _______________ Make Checks payable to: Elegant Egg Creations

Money Order

Credit Card #: ___________________________ Exp. Date: _____  Card:  Visa   Mastercard   Discover  ( Circle One)

 Authorized Signature: ___________________________________