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ITEM # |
DESCRIPTION |
# of 5 lb. Bulk |
TOTAL |
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1 |
Mammoth Halves |
_____ x 30.00 |
_____ |
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2 |
Native Halves |
_____ x 27.50 |
_____ |
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3 |
Large Pieces |
_____ x 27.50 |
_____ |
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4 |
Medium Pieces |
_____ x 27.50 |
_____ |
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5 |
Small Pieces |
_____ x 27.50 |
_____ |
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6 |
Midget Pieces |
_____ x 22.50 |
_____ |
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Subtotal: |
_____ |
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* Shipping & Handling to same Address: |
+_____ |
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Arkansas Residents add 5.0 % Sales Tax: |
+_____ |
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Total Amount Due: |
$_____ |
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Charge: [] Master Card [] Visa
Card Number: _______________________ Expiration Date: ______________________ V-code (3 digits on back of card): ________ Signature:___________________________ |
*Shipping & Handling to same address: 5 lb. case $ 9.50 two 5 lb. cases $10.80 Call our toll free number for shiping prices on larger quantities. |
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(PLEASE USE HOUSE NUMBER AND STREET ADDRESS) |
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Ordered by: |
Mail to: (if different from person ordering) |
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Name____________________________ |
Name______________________________ |
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Street____________________________ |
Street______________________________ |
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City, State, Zip_____________________ |
City, State, Zip_______________________ |
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Home/Work Phone__________________ |
Date to Ship_________________________ |
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Signed___________________________ |
Greeting Card?_____(yes)________(no) |
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Date_____________________________ |
Sign Card:__________________________ |
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