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Te Blueberry Store Gift Orders If you need more space or have additional orders, please attach a separate sheet of paper.


Name ___________________________________________________________________________ Address __________________________________________________________________________ ________________________________________________________________________________ City ____________________________________________________________________________ State/Zip ________________________________________________________________________ Phone Number ___________________________________________________________________ Message (on card) _________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________


Apartment/Suite # IteM code deScrIptIon Qty prIce total


ShIppIng total For thIS gIFt order


Name ___________________________________________________________________________ Address __________________________________________________________________________ ________________________________________________________________________________ City ____________________________________________________________________________ State/Zip ________________________________________________________________________ Phone Number ___________________________________________________________________ Message (on card) _________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________


Apartment/Suite # IteM code deScrIptIon Qty prIce total


ShIppIng total For thIS gIFt order


*For additional gift orders, please list information on a separate sheet of paper. 18 — 19 www.TheBlueberryStore.com


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