Mail In Order Form
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Name:____________________________ Address:__________________________ City:___________________ State:______ Zip Code:__________ Daytime Phone:(_____)___________________ |
Name:____________________________ Address:__________________________ City:___________________ State:______ Zip Code:__________ |
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Item Number |
Description / Color |
Quantity |
Price Each |
Total |
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Sub Total |
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SC Residents add 6% tax |
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Shipping within US |
$_________ |
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Shipping outside US |
$_________ |
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Total |
Thank you for your order!
**Shipments outside of the Continental US, multiply by four the standard US shipping charge.
