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| Name: | After completion of the form below, use one of these methods to ensure our receipt of your order:
- Fax to 1(718) 854-6058, and call 1(800)404-3943 to confirm. - Mail to: CONFRATERNITY OF THE PRECIOUS BLOOD 5300 FORT HAMILTON PARKWAY BROOKLYN, NY 11219 Address:
| City: | State: Zip Code:
Date: | Account Number: Telephone Number: Fax Number: If you have any special instructions for this order, please place them in the space provided.
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Please allow 2-4 weeks for your order to be processed and delivered. Any extra donations towards our shipping costs will be appreciated. Thank You! |