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ORDER FORM |
Most orders shipped within 24 hours! |
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Sold to: |
Ship
to ... only if other than sold to
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| Name | Name | |||||
| Company | Company | |||||
| Address | Address | |||||
| Address 2 | Address 2 | |||||
| City | State | Zip | City | State | Zip | |
| Country | Country | |||||
| Phone | Fax | Phone | Fax | |||
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The information you provide is only to allow us to serve you better. We never share or sell our mailing list |
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Item & Description |
Qty |
Unit Price |
Subtotal |
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Merchandise Total |
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SHIPPING & HANDLING CHARGES |
NC add 6% Sales Tax |
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Includes insurance, packaging materials & guarantees delivery in perfect condition |
Shipping/Handling Total |
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First print add |
$10 |
TOTAL |
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Each additional print add |
$1 |
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| 16" x 20" Framed print add |
$10 |
Mail or Fax Order Form to: |
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Greeting card set add |
$5 |
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Screensaver CD-ROM or Calendar add |
$5 |
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Rush delivery via UPS 2nd Day Air add |
$16 |
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International orders add |
$20 |
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TOTAL |
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Pay
by:
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Check
[ ]
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Money
Order [ ]
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Credit
Card [ ]
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| Credit Card # ____________________________________________________________ |
Exp.
Date _______________________
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Signature
_______________________________________________________________
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Order
by Phone 800-828-3634 Fax 919-562-7545 E-mail sales@drublair.com
or mail to the address above
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