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Orders: 817-783-5600 (AMHA) ||| amha@flash.net
Name________________________________________________ Daytime Phone (______)___________________ Address:_____________________________________________________________ City_____________________________State_______Zip______________Country______________ Charge Card (check one) ____Visa____MasterCard CardNumber______________________ Expiration Date___________ Name on Card___________________________Signature_____________________________________ |
Item # | Description & Color | Size | Quantity | Price Each | Total |
SubTotal | |||||
Add Shipping & Handling Charges $30 and under (add $5.95) $30.01-$50 (add $7.95) $50.01- $100 (add $9.95) $101.01-$200 (add $11.95) $200.02-$300 (add $13.95) Over $300, call for charge |
Shipping & Handling | ||||
TX residents add 8.25% sales tax | |||||
Total |
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