MissLuana.com Online Store Order Form
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Personalization Message or Other Special Requests:
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Name: __________________________ Email: _____________________________ |
Delivery
Address: ___________________________________________ ___________________________________________ ___________________________________________ |
Please
print out and complete this form. Make your money order or cashier's check
payable to "Cash". Then mail this form and your payment out to:
Luana
Lani
6789 Quail Hill Pkwy. #309
Irvine, CA 92603
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