
Ship To:________________________________________
Address:________________________________________
City:_________________________ State:________________ Zip:___________
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Part # |
Qty. |
Description |
Price Ea. |
Total |
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Merchandise Total |
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Postage&Handling |
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Florida Residence (add 6% sales tax) |
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Grand Total |
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**Foreign Orders increase Postage & Handling $6.00
**Foreign Orders use International Money Orders made in U.S. funds only.