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ORDER FORM

Fill out the necessary information below and use this printable order form for your convenience.

 

YOUR INFORMATION - Please fill out one form for each blanket ordered

 
      Your Name
      Address ( No P.O. Box)
      City
      State Zip Code
      Phone (optional)
E-mail
        Email and phone number for contact purposes ONLY  
         

BLANKET INFORMATION

      Style  
      Quantity Pattern/color
           

Additional Information

 

Please complete this form and send it with your check or money order payable to:
Cozy Covers
P.O. Box 6705
Villa Park, IL 60181-6705

Please allow 2-4 weeks for delivery from the time payment is received