P.O. Box 1258, Brush Prairie, WA 98606 |
CONVENTIONAL
ORDER FORM
For fast personal service, call us at 1-360-882-0816. How
to order:
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Bill
To: ________________________________ Ship To:___________________________________
________________________________ ___________________________________ ________________________________ ___________________________________
________________________________
___________________________________
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Date of Order:______________________________________ |
Credit
Card Number:________________________________
Signature:_____________________________ Date:____________ |
Product ID: | Product Name: | Unit Price: | Quantity: | Price: |
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_____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ |
Subtotal:____________________________ |
Sales Tax(7.7%):_____________________ |
Shipping/Handling:____________________ |
Total:______________________________ |