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ORDER FORM
Mail
To: 1214 Big Dalton Ave, La Puente Ca, 91746
Please
enclose a check or money order payable to Adrian Zavala
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How Many |
Name
of Item |
Price per Item |
Total Price |
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| Add $4.75 for orders (Flat rate for shipping) | Shipping | ||
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Insurance | ||
| 8.25% tax | |||
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USE MORE THAN ONE FORM IF NECESSARY |
TOTAL |
| Full Name: | ||
| Address: | ||
| City, State: | Zip Code: | Country: |
| Email: (we do NOT sell or give out your email) |
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