THE STAMP-TIQUE, INC.

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MAIL ORDER FORM

THE STAMP-TIQUE, INC.
17 LAKE LORRAINE CIRCLE
SHALIMAR FL 32579-1617
PHONE: 1-850-651-3437
FAX: 1-850-651-3405

Name: ______________________________________________________

Signature:____________________________________________________

Address: ____________________________________________________

City: ________________________________________________________

Phone: Daytime (____) _____________  Evenings (____)_______________

Email:_______________________________________________________

Philatelic Memberships/References: ________________________________

ITEM # SCOTT DESCRIPTION Price
       
       
       
       
       
       
       
       
       

Subtotal:  

 
                                            Postage & Insurance:    

Florida Sales Tax (Add 6%): 

 

Total: 

 

 

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