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Silver City Candle
15 Wood Street
Meriden, CT 06451		  
order by phone : 860-558-3308
order by fax: 203-238-4507
Either Mail, Call or Fax
Ship To: Bill To:
Name . Name .
Address: . Address: .
  . . .
City . City .
State . Zip . State . Zip .
quantity:
Candle Size / Scent
Price Each
Total
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
Plain Box Shipping:
 $
Total
 $
Payment Options:   If your are paying by Check or Money Order:
Please Make Payable to Silver City Candle, and send to:

Silver City Candles
15 Wood Street
Meriden, CT 06451
Credit Card: (    Visa    MasterCard     American Express     Discover   )      Money Order   Check*
Card Number:  
Expiration Date:  
Card Holder Signature: X___________________________________________  

You May Also Fax Your Order To: 1-203-238-4507

* Note: There is a $20 Fee for Bounced Checks, Personal Checks are held for 7 days, paying by money order or cashiers check is fastest.