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Diecast Order Form Mail • Fax • Phone
Phone: (450) 984-8735 Fax: (540) 984-4418 Email wasec@shentel.net Address: 110 Palmyra Road Edinburg, VA 22824	Hours: 11:00 AM to 5:00 PM Monday - Wednesday -Friday EST 11:00 AM to 5:00 PM EST Saturdays Closed on Tuesdays and Major Holidays
BILL TO: Customer No.: Name: Address: City: State: Zip: Day Phone: Night Phone: Fax: Date:	SHIP TO: (If Different) Customer No.: Name: Address: City: State: Zip: Day Phone: Night Phone: Fax: Date:
Item No. Item & Description Price  Qty.    Total
. All orders are non-cancelable however, your complete satisfaction is guaranteed. If you wish to return your purchase for any reason, simply return the items within 7 days for a merchandise refund less shipping and handing charges. SUB TOTAL $ Shipping & Handling $ TOTAL $ VA. Residents Add 5% Tax   GRAND TOTAL $
Thank You For Your Order!

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