Bizzy Beez FAX Order Form

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1. Please type your information in the form below 

2. Print out this fax form

3. Fax it to (336) 998-2045
Type Bride/Groom's Name:
Type Baby/Mother's Name:
Type Your Home Number:
Type Your Work Number:
Type Your Fax Number:
Type Item To Be Ordered (Hit ENTER at end of each typed line:

 

Type Your Name:

Address Line 1:

Address Line 2:

City:

State:
Postal Code:

Type Your Enclosure Card Greeting:
 

Payment Method
Check the appropriate box & type your card number & expiration date below:
Visa
Other

 
Master Card
Card Number:

Expiration Date: