Simply print this form, fill it out and fax it to us at 410-828-7688.

*Remember, you can always call us during buisness hours to plce an order.

Name
Street
City, State, Zip
Telephone
Charge Card Number (Visa or MC)
Expiration
Signature


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PLEASE READ: Signing below gives Needles and Threads of Ruxton permission
to charge the account above for the full price of the order, plus UPS shipping charges.
We can not fill any orders without a signature.

Thank you for your business.
Needles and Threads of Ruxton
7701 Bellona Ave, Baltimore, MD 21204
410-828-7688