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Qty	Order #	Description	Unit Cost	Total Cost

 

Subtotal

 

California residence add .08% sales tax  - (.08 X Subtotal)

Minimum shipping and handling.  Additional charges may apply.

$5.00

 

Total Order - (Subtotal + Sales Tax + Shipping & Handling)

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Shipping Information

Full Name:  

Street Address: 
Street Address: 

City/Town: 

State:       Zip Code/Mailing Code: 

E-Mail Address: 

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