Ordered by: phone number |
Ship to: |
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Quantity |
Item Description |
Size and Color |
Price |
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Total Sales |
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Sales Tax (Illinois residents add 10.00 % of Total) |
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under 1 lb. - $6.50 |
6-7 lb. - $15.00 7-8 lb. - $16.00 8-9 lb. - $17.00 9-10 lb. $18.00 over 10 lb. $25.00 |
Shipping |
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Total |
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| If paying by check, please make payable to Second Editions |
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| If you wish to pay by credit card, please indicate: number (Visa, Master Card, Discover, American Express) expiration date |
Please mail this form to Golly Gear If you have any questions, please call 800-694-6531. Thank you. |
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verirfication code (last 3 digits on back of card in signature space)
signature
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