Order Form
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Date:
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AMERICAN HOMETEX, INC.
1121 108th Street
Arlington, TX-76011
972-721-1338
Toll Free:1-866-918-9988
www.americanhometex.com
www.Quilt.bz
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Purchase# :
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Sales Rep. :
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Contact :
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Bill To :
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Ship To :
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Ship Method:
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Ship Date :
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Resale Number :
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Email :
Terms:
Credit Card
COD
Send Check
Net30
Approved Credit Only
If Take Credit Card :
V
MC
AM
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Exp Date :
(mm/yyyy)
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Credit Card# :
ORDER
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© 2005 AmericanHometex.com Rights Reserved