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Email _______________________________ Date_____________
Name _____________________________________________
Company __________________________________________
Mail Address _______________________________________
City _________________________State ____________Zip__________
Phone No. _________________________
Ship to if different than above, UPS needs physical
address
Name _____________________________________________
Company __________________________________________
Address ___________________________________________
City _________________________State ____________Zip__________
Phone No. _________________________
Check,
Cash or Money
Order. C.O.D. not available.
_________________________________
Catalog No. |
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Description |
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Price |
Total |
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Total Pounds (round up to next full pound)
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Total |
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For compensation from lost packages
or shipping damage, please use insurance. |
UPS Ground Shipping Cost: $1.80 per pound plus
$12 ______________
UPS insurance: Add $1.20
per each $100 value ______________
US Post Office Shipping Cost:
See Shipping Info
Page ______________
US Post Office Insurance:
$3.00
for
first $100, then $1.60
per $100
remaining
______________
Sub Total ______________
Add 7.9% sales tax on Sub
Total for Kansas
orders
______________
Total ______________ |
Print this page and mail or fax with
payment.
Shipping info
and policies
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