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Quantity
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Product
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Price
(each)
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Total
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Sub-Total
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California
Residents add 7.25% Sales Tax
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Sales
Tax
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$0.00-$99.99 = $5.99
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Shipping
and Handling Charges
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Grand
Total
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We accept Personal Checks and Money Orders Orders paid for with personal checks will be shipped when check clears. |
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| Name: | |
| Address: | |
| City, State, Zip | |
| email Address: | Home Phone Number: |
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Make
Checks Payable to: Mail Check and completed order form to: |