The Broad Ripple Gazette |
Collector Pin Order Form |
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The
Broad Ripple Cloisonné Collector Pins are available at Artifacts in the Broad Ripple area. If
you wish to receive mail delivery, please fill out this form and return with
payment. |
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Date _____________________ |
Name |
__________________________________________ |
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Address |
__________________________________________ |
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City, State, Zip |
__________________________________________ |
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phone |
__________________________________________ |
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email |
__________________________________________ |
Pin Style |
Per pin |
Total |
__ BRV Duck 001 |
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__ Canal 002 |
$8 |
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__ BR Gazette 003 |
$8 |
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__ Patio sign 004 |
$8 |
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__ Bagel clock 005 |
$8 |
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__ Vogue marquee 006 |
$8 |
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__ Chelsea’s 007 |
$8 |
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__ Fire station 32 008 |
$8 |
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SHIPPING/HANDLING |
$4.50 |
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SUBTOTAL |
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TAX (Indiana residents 7%) |
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TOTAL |
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Please mail with payment to: The Broad Ripple Gazette Indianapolis, IN 46205 Prices are subject to change without notice Questions? info@BroadRippleGazette.com (317) 759-4825 |