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Company Name
Your Name
Address
City
State
Postal Code #####
Phone Number ie. (###) ###-####
EMail Address ie. john@email.com
Shipping Carrier
Payment Type

Products Desired

Provide the quantity, description, and approximate value (if known) below.
General
- Orders may be subject to City or Village sales tax.
- Unless otherwise indicated, like items will be substituted when out of stock on a requested item.
C.O.D. Orders (collect on delivery)
- Minimum orders are $50
- There is no return policy for cartons over 100 lbs.
- Packages must be claimed at the Post Office within 15 days of delivery notification.
- Cartons will be marked accordingly.
- All orders are subject to freight charges by the shipper. Freight orders prepaid.
- All orders shipped COD will be charged a COD fee.
- Fees for any orders sent certified or insured at customer's request will be added to the balance due.
Prepaid Mail Orders
- All Orders are subject to freight charges by the shipper. Freight orders prepaid.
- Fees for any orders sent certified or insured at customer's request will be added to the balance due

 
Quantity 1
Description 1
Price 1
 
Quantity 2
Description 2
Price 2
 
Quantity 3
Description 3
Price 3
 
Quantity 4
Description 4
Price 4
 
Quantity 5
Description 5
Price 5
 
Quantity 6
Description 6
Price 6
 
Quantity 7
Description 7
Price 7
 
Quantity 8
Description 8
Price 8
 
Quantity 9
Description 9
Price 9
 
Quantity 10
Description 10
Price 10
 
Quantity 11
Description 11
Price 11
 

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