PRINT THIS ORDER
FORM AND MAIL WITH PAYMENT
PO Box 224
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Circle Payment Method: Check Money Order |
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| Name:(print & signature) | |
| Address: | |
| City: | |
| State & Zip: | |
| Telephone: | |
Item Name and Description |
Price Each |
Quantity |
Total |
Statue of Liberty Fret Work Art |
$45.00 |
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Comical Sign (Indicate A,B,C,D or E)) |
$5.95 |
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Lighted Box (Indicate which design) |
$15.95 |
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Subtotal: |
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Shipping and Handling: ($3.95 X number of items ordered) |
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South Dakota Residents Please Add 7% Sales Tax: |
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Please allow 2 - 3 weeks for delivery. |
Total : |
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