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Order Form |
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Ship
To: (If PO
BOX, Street Address) ________________________________ City/State/Zip
____________________________________________ Phone #
_________________________________________________ Email
__________________________________________________ |
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Shipping
& Handling Costs: Up to
$25 $5.95 $25.01—$50 $7.95 $50.01—$75 $9.95 $75.01—$100 $10.95 $101.01—$125 $12.95 |
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MONEY
ORDERS ARE ACCEPTED FOR PURCHASES ONLY. Orders are
processed within two weeks of receiving Order Form. THANK YOU
FOR YOUR ORDER! |
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Quantity |
Item |
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Description |
Price |
Tax |
S&H* Refer
to chart |
Total |
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Subtotal |
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Tax |
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Shipping
& Handling |
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Balance
Due |
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