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On-Line Order Form
Your order may be expedited by EMAILING it to us on-line using the following form. All sales are governed by our rules of sale as stated. * Name:
Address
City: State:
Postal Code: Country:
* Email:
* Home Phone: Home Fax:
Work Phone: Work Fax: _____________________________________________________________________ ITEM SCOTT
NUMBER NUMBER DESCRIPTION PRICE
ITEM 1: ITEM 2: ITEM 3: ITEM 4: Sub Total Florida Residence (Add 7% Sales Tax) Total (Please submit separate orders for more than 4 items.)
Which method of payment do you prefer? Certified Check Personal Check Money Order
Other comments: . |
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