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NAME_______________________________________________________________________________
DELIVERY STREET
ADDRESS___________________________________Apt, Suite, Floor____________
CITY______________________________________STATE__________________ZIP________________
E-MAIL
ADDRESS_____________________________________________________________________
Can we contact you at this email if we have any questions? (yes / no)
We would be happy to email you your tracking #
HOME or CELL
PHONE______________________________________________________
Can we contact you at this number if we have any questions? (yes /
no)
ITEM & COLOR
CHOICE_____________________________________
QTY______________________
ITEM & COLOR
CHOICE_____________________________________
QTY______________________
ITEM & COLOR
CHOICE_____________________________________
QTY______________________
ITEM & COLOR
CHOICE_____________________________________
QTY______________________
ITEM & COLOR
CHOICE_____________________________________
QTY______________________
TOTAL ORDER QTY.___________________
SHIPPING ADD $7.95 for domestic orders (FREE IF ORDER
IS OVER $75) ______________________
ADD PA SALES TAX (6%) ONLY IF SHIPPING WITHIN THE STATE
OF PA____________________
TOTAL $ AMOUNT OF CHECK/MO ENCLOSED_____________
CHECKS AND MONEY ORDERS MAY REQUIRE UP TO 7 BUSINESS DAYS TO CLEAR PRIOR
TO YOUR ORDER BEING SHIPPED.
ADDITIONAL
INFO (How would you like the order boxed, separately or all together if
possible?):
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
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