CREDIT CARD#
Expiration: (MM/YY)
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| Address | ||||
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| Telephone ( ) | Fax ( ) | |||
| Qty. | Item # | Name | Price | Total |
|---|---|---|---|---|
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
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| Subtotal | $ | |||
| California residents please add 7.75% sales tax | $ | |||
| 1-5 patterns add $2.00 for shipping | $ | |||
| 6-10 patterns add $4.00 for shipping | ||||
| 11-25 patterns add $6.00 for shipping | ||||
| 26-49 patterns add $8.00 for shipping | ||||
| Total | $ | |||
| Comments or Questions: | ||||
For wholesale setup information contact our office by phone.