| Easy Ordering |
| By Phone |
573-808-0584 |
| By Fax |
no fax
available |
| By
Mail |
4901 E. Wildbird Lane,
Sturgeon, Mo, 65284
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| Buyers
Name: |
Ship
to: |
| Make
Address corrections as necessary: |
Sorry No
P.O. Boxes |
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Name: |
| Address: |
| City: |
State: |
Zip: |
| Country: |
| Please
include your phone number in case we have a question with your order. Also
please enclose a check or money order. |
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| Evening
( ) ____ - _________ |
Daytime
( ) ____ - _________ |
| Credit Card Number . . .
. . . . . . Sorry no credit cards accepted at this time |
|
Expiration Date
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| Signature |
| All
charge cards will be billed upon receipt of your order, please include entire
account number below. |
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Title
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Item
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Size
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Color
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Quantity
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Price
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Total
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Please
allow 2 to 3 wks. for delivery.
If your order --- ADD these amounts for shipping and handling. |
| Up
to $15 |
1.95 |
| Up
to $25 |
2.95 |
| Up
to $60 |
5.50 |
| Up
to $100 |
9.95 |
| Up
to $150 |
14.95 |
| Over
$150 |
16.95 |
| Over
$250 |
call 615-305-4162 |
| For
AK, HI and International, please call. |
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| Merchandise Total |
|
| Shipping |
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| TN
States Residents add 9.25% Sales Tax |
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| Order
Totals |
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| Signature: |
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