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Regina Angelorum

Wire-Wrapped Rosaries And


Traditional Religious Goods
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Redesign Form
Please complete this form and include it with your
parts. This form must be completed and signed for
your order to proceed. Thank you for your patronage.

Billing Address

Full Name

Address

Address

City State Zip Code

Shipping Address

Full Name

Address

Address

City State Zip Code


I understand that the REDESIGN KIT is NON-REFUNDABLE. I also understand that if I choose to cancel my

order the parts I have sent will be returned unaltered to me free of charge. I understand that NO work will be

done on my piece until all fees and agreed upon prices are PAID IN FULL. I also understand that the shipping

of my final piece has been INCULDED with the purchase of the REDESIGN KIT. I verify that I am over the

age of eighteen. I promise that I will treat the products I receive with due respect and protect them with the

dignity they are entitled to after they have been properly blessed by a priest or deacon.

Printed Name

Signature

Date / /20