Copper Moon Cottage

Rachael Cornetta
801 West Park Avenue
Townhouse 1-D
Lindenwold, NJ 08021
E-Mail: coppermoon@snip.net		 Ship to:
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Date:____________
Payment Type: US Funds
Payment Method:
Check:_______  Money Order:_______  Amount Enclosed:_______
All Checks and Money Orders Made Payable to: Rachael Cornetta

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Thank You For Your Order! Sub Total __________
NJ Residents Add 6% Sales Tax __________
Handling _____ .90__
Shipping __________
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