Meixner Woodworking Creations Order Form 
Please fill out the following form, along with venmo payment (details below) to place an order.  
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ALL ORDERS NEED TO BE PLACED BY MAY 5TH - otherwise there will be a delay to be done before Mother's Day. 
First and Last Name  *
Phone # to confirm details via text/call as needed  *
Small Box - without design - $50/each; choose quantity below    12 x 12 x 14.5 
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Small Farmhouse Box - $65/each choose quantity below  12 x 12 x 14.5 
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Small Tapered Box $50/each; choose quantity below;  11.5 x 11.5 x 15.5 
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Tall Tapered Box - $90 - Insert NOT included-  choose quantity below   11.5 x 11.5 x 28
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If modification box was clicked, please place details in this box. 
Order Deposit Information: 
After your order is received; Jeff will text you confirmation of order and Venmo.  Please send half of a deposit via Venmo to @Jeff-Meixner-3

If you do not have Venmo please contact Jeff Meixner at 651-983-6794 to set up other payment options. 
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