 |
MAIL ORDER FORM |
To place orders by phone call |
|
MAIL ORDER FORM |
To place orders by phone call |
Print this page out and include payment with mailing.
SHIPPING ADDRESS: Name: __________________________________ Residence?: _____
Street Address: ______________________________________________________________
City: ____________________________ State/Province:_________ Zip Code: ____________
Telephone: (____)_____________________ E-mail: _________________________________
|
Description
|
Size/Color
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Qty.
|
Price Ea.
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Total
|
| Subtotal: | ||||
| : | ||||
| Shipping/Handling: | ||||
| Total Due: | ||||
Expiration Date (MM/YY):_____/_____
Billing Address (if different from above):_________________________________
___________________________________________________________________
NO C.O.D.'s