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Name:
Address:
City: State:
Zip: Telephone:
E-Mail:
Item # Pg. Description Size/Color Qty Price Ea. Total
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total for above_________
**NO S&H or Tax on** (USA Only)10% for shipping________
Catalog Only Orders!!
**Foreign orders, S&H handling___$2.00
based on weight.**
CA residents 9-1/4%_________
total enclosed _________
Payment by check, money order, credit card (Visa, MC, Discover),
or PayPal Invoice.
Credit Card Number ______________________________ exp date _____
Phone (831) 373-6762 or
Fax (831) 373-4113
