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BILL TO:
NAME: ____________________________________ |
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SHIP TO:
NAME: ____________________________________ |
ADDRESS:__________________________________ |
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ADDRESS:__________________________________ |
CITY: _____________________________________ |
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CITY: _____________________________________ |
STATE: ___________ |
ZIP CODE: ____________ |
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STATE: ___________ |
ZIP CODE: ____________ |
PHONE: (________) __________________________ |
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PHONE: (________) __________________________ |
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 MASTERCARD
AMEX
VISA |
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Expiration Date (MM YY) |
V# |
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Quantity
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Description |
Unit Price |
Total |
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PAYMENT IN U.S. FUNDS ONLY (Minimum International Order is $250).
All amounts are in U.S. dollars subject to change without notice. Fax or mail
this order form and payment to our Sales Department at the address shown below.
Mastercard, Visa, Cashiers Check or Money Order gets immediate shipping, please
allow 1 week for delivery in the Continental US. We will hold personal checks
10 days for clearance. Please note that LOCAL TAX applies only to MASSACHUSETTS
residents. Sorry, we cannot accept On-line orders yet.
International Sales under $500.00 US are subject to an additional $50.00 processing fee.
Orders received Monday through Friday before noon will ship the same day.
UPS ground service to the Boston area arrives the next business day in most
cases. Overnight, two day and three day service is also available for a
premium.
TO PLACE AN IMMEDIATE ORDER NOW CALL 617-908-6258 AND ASK FOR IKE
Signature Required:__________________________________
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Subtotal
this page |
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Subtotal from
other pages |
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Total of
all pages |
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Local MA 5%
Sales Tax |
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UPS
Shipping |
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GRAND
TOTAL |
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