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SHIP TO: |
Date:___________________ |
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(NOTE: "SHIP TO" NAME & ADDRESS MUST BE THE SAME AS CREDIT CARD) |
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(PLEASE INCLUDE COMPLETE ADDRESS OR INCLUDE A RETURN ADDRESS LABEL)(40810) |
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ITEM |
QTY |
DESCRIPTION ( MAGAZINE, MONTH, YEAR, ARTICLE, TITLE ) |
AMOUNT |
|
|
1 |
$ |
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|
2 |
$ |
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|
3 |
$ |
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|
4 |
$ |
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|
5 |
$ |
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|
6 |
$ |
|||
|
7 |
$ |
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|
Total Number of Boards ................................................... ..SUBTOTAL |
$ |
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|
PRIORTY MAIL $5.50, EXPRESS MAIl $20.00, or 2nd DAY FED-X $18.00 or US (ALL US ONLY) |
$ |
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|
CANADA SHIPPING ……… $2.00 PER 4 BOARDS, INTERNATIONAL (Excluding CANADA) $7.00 + $1.00 PER EACH BOARD |
$ |
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|
$3.00 CREDIT CARD SERVICE CHARGE (CREDIT CARD ORDERS ONLY) |
$ |
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|
lllinois sales tax ( ILLINOIS RESIDENTS ADD 6.5% ) |
$ |
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|
TOTAL |
$ |
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Check number___________ Cash_____CREDIT CARD_____Credit Card Company_______________ |
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( NOTE:Visa or Master Card ONLY) Home Phone Number: ________________________________ e-mail address___________________________ |
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Signature: ___________________________________Ham Call__________________________ |
Mail, or Fax Orders to 847-836-9148