Timbre Merchandise Order Form

To place an order, print out this order form page, fill it out and send it with payment,
to the address listed below.

Item Description _____ Size Color Qty. Price Total

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Make Checks & Money Orders Payable To :
Timbre Cierpke
131 Hermitage Woods Dr.
Nashville, TN 37076 Shipping : $ __________________________
Total : $__________________________

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Full Name

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Address

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City State Zip Code

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E-Mail Address or Phone Number