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    Home-Based Careers In Fashion

          Offline Order Form

    Ordering Options:

    1. Complete, print, and fax the following form to us 24 hours at 1-434-984-2528.

    2. Complete, print, and mail the following form to us at:

            Donegal Direct LLC
            1502 Loving Road
            Gordonsville, VA 22942

    3. If you prefer to pay by check or money order, simply make payable to Donegal
    Direct and mail the completed form to the above address.

Be sure to include your email address so we can email
the download instructions once your order has been processed.

First Name:

Last Name:

Company:

Address:

City:

State:

Zip Code:

Country:

Phone:

Fax:

Email:

Paying By:

Credit Card
Debit Card
Check (Make Payable to: Donegal Direct)
Money Order

Credit or Debit Cards

Visa MasterCard

Card Number

Expiration Date

(mmyy)

    • If paying by credit or debit card, you will be charged a total of $27 under
      the name of our parent company, Donegal Direct.

    • If paying by check or money order, please remit $27 to our parent company,
      Donegal Direct.