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OFF-LINE ORDER FORM
Print this
order form, fill out, and submit your order by phone, fax, or mail.
(We
recommend using our
shopping cart
to print your mail-able order.)
Billing Address (as appears on check):
Name:__________________________________
Address:________________________________
City:___________________________________
State:___ Postal Code:________
Email:_____________________________
Phone:_______________ Fax:______________ |
Shipping Address
(if different):
Name: _________________________________
Address: _______________________________
City: ________________________
State:_____ Postal Code:________ |
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Product Description |
color, size, etc |
Quantity |
Cost |
TOTALS |
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Shipping/Handling Charges:
(ONLY in Continental USA) |
1 Belt = $ 6.00
2 Belts = $ 8.00
3-6 Belts = $10.00
7 or more Belts = CALL |
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Sub-Total __________
Shipping ___________
KY 6% ____________
Total ___________ |
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ORDERS BY
MAIL
SEND TO:
SWASHBUCKLERS
PO BOX 334
LA GRANGE KY 40031-0334
(Include your printed order form and remittance. Make checks or
money orders payable to Swashbucklers.) |
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