BUTTERFLY
BASEBALL
SPORTS
PRINCESS
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Name Desired
Male
female
age
Your Name
Your address
Town
State
zip code
Where did you see our products
store ?
town ?
internet ?
phone
How will you be paying ?
sending a check to PRC. ?
paying by credit card ? on line
We do not give out any information to anyone
Any comment
your email
you will be sent confirmation
description of material for pillow
200 characters allowed
visa or mastercard accepted
Butterfly Pillow cover
Name Comments:

Price: $ 19.99 Quantity:

Baseball pillow cover
Name comments:

Price: $ 19.99 Quantity:

Princess Pillow cover
Name Comments:

Price: $ 19.99 Quantity:

Sports pillow cover
Name Comments:

Price: $ 19.99 Quantity:

side opening is velcrow so you can take
pillow out and clean No pillow is made
untill you order it.  pillows measure approx 14 x 14 made especially for you
AND ARE MACHINE SEWN,
Name
Pillow
Covers
Name
Pillow
Covers
Name
Pillow
Covers
Have a question? Or maybe you would like to use your own words enter here and make changes email to me and we will use your wording in the poem
your email
your phone
page
1
2
3
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5
more choices of materials
we do not give out any information to anyone.
Please send order form and payment to
   PRC     RIGHT CLICK TO PRINT FORM  877 372 7238 toll free
1854 state highway
Kirbyville, Mo 65679y K
                     417 336 1250
                                     email: sharongrnny@aol.com
We have them all
(First or Last Name)
fill this form out completely and mail to
check or money order is accepted
order will go out within please allow 2 weeks for delivery of order
as each pillow is made especially for you,
     You pick the pattern You pick the name,        
     is there any special wording you would like at the bottom
                       
                   
Age |Name desired  Male/Female|qty|price total|
                                         
                                          MATERIAL DESIRED
___ |_____________|_____|_____|___|$19.99_________________

___ |_____________|_____|_____|___|$19.99_________________

___ |_____________|_____|_____|___|$19.99_________________

___ |_____________|_____|_____|___|$19.99_________________
                                
               
                          
                             lows measure approx 14 x 14
PlEASE MAKE CK OR MONEY ORDER PAYABLE TO    PRC                                                  

where did you see our product?_____________________ 

city______________state_____________ INTERNET____________



Your name_________________________

address    _________________________

City _______________state___________ zip__________

phone_________________email:____________________
 
checks accepted
thru mail
order visa or mastercard