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ORDER FORM BY MAIL
NAME --------------------------------------------------------------------------------
STREET-------------------------------------------------------------------------------
TOWN--------------------------------
STATE------------------------------ ZIP--------------
PHONE-----------------------------
E-MAIL-----------------------------------------------
ITEM/ TITLE/ QUANTITY/ SIZE/ PRICE
1.------------------------------------------------------ ------------- ------ --------
2.------------------------------------------------------ ------------- ------ --------
3.------------------------------------------------------ ------------- ------ --------
4.------------------------------------------------------ ------------- ------ --------
5.------------------------------------------------------ ------------- ------ --------
SUBTOTAL -----------
SHIPPING FEES AS FOLLOWS $1-$20. = $4.95
$21-$40 = $9.95
$41-$60 = $14.95
$61-$80 = $19.95
$81-$100 = $22.95
$101-$200 = $24.95
OVER $200 = FREE
TOTAL -----------
PAYMENT IS IN CASHIERS CHECK OR MONEY ORDER
NO PERSONAL CHECKS PLEASE
CASHIERS CHECKS MADE PAYABLE TO HOT ROD THUG APPAREL INC.
PRINT THIS FORM. FILL OUT COMPLETELY AND MAIL WITH YOUR PAYMENT TO
HOT ROD THUG APPAREL INC.
1069 MAIN ST.
SUITE 327
HOLBROOK NY 11741
THANK YOU FOR YOUR ORDER
WWW.HOTRODTHUG.COM
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