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Rita's Gift Shop
We Make Shopping Online Easy! Open 24/7
Rita's Gift Shop
600 N Morton Avenue,
Apt# 13
Centerville, IN 47330
Print Order Form

Phone: (765) 855*1037

EMAIL
Note: Just complete this form. Click on print and post to us. Please print clearly,or type all the info before you print it. fill out the form completely and DOUBLE-CHECK your order.
Thank you...

Your name:

Email address:

Address 1
Address 2
City
Zip/ Post Code
State

Please make Checks and Money Orders out to Rita Hughett
If you wish to pay by credit card. We only take Master/visa Cards

Payment Type

Check
Money Order
Cash
Credit Card
Card Type Master Visa
Card # Exp Date Month Year


Item# Short description Cost
$
$
$
$
Total Plus $8.95 shipping on orders under $30 $

Rita's Gift Shop* Sales/E-Commerce * 600 N Morton Ave, Apt 13 * Centerville, IN 47330 *