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Belt Finishing Information - Please complete all of the information below.  Then PRINT the form and mail it along with your belt to the following address:

            NeedlepointShop.com

            1037 W. Lake Valley Court

            Hernando, FL  34442

   
Name
Work Phone
Home Phone
E-mail
Belt Description: 

    Choose one of the following options for the choice of:

    leather color:            buckle:          What is the belt waist size?              Belt for: 

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Payment Method:     Credit Card Number:   Exp. date:  Security Code

         

    No charges will be applied to your credit card until the finished belt is shipped back to you. 

Thanks for your order!

 
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