|
((( Print This Form, Fully Complete, Mail with Check or MO. ))) |
Date |
 |
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| Deerskin Gloves | Invoice# | ||||||||
| 121 4th Ave. North | |||||||||
| Strum, WI. 54770 | |||||||||
|
OrderGloves.com |
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| (Print) Name .. | Check# = | ||||||||
| Company .. | Credit Card Number | ||||||||
| Address .. |
CC#= |
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| City, St. Zip .. | Type ? | MC | Visa | ||||||
| Phone # .. |
|
Email = |
Exp Date = | / / | |||||
|
Mail In Glove Order Form |
Sec Code = | ( ) | |||||||
|
Sizes
> |
Small | Medium | Large | X Large | XX Large |
Total # of Doz |
Price Per Doz |
Total | |
| OG-011 T | ( ) | ( ) | ( ) | ( ) | -------- |
=[ |
@ $112.92 |
=$ |
|
| OG-020 BR | -------- | ( ) | ( ) | ( ) | ( ) |
=[ |
@ $61.92 | =$ | |
| OG-020 SA | ( ) | -------- | ( ) | -------- | -------- |
=[ |
@ $78.60 | =$ | |
| OG-021 SA | -------- | -------- | ( ) | ( ) | -------- |
=[ |
@ $89.40 | =$ | |
| OG-057 GY | ( ) | ( ) | ( ) | ( ) | -------- |
=[ |
@ $71.64 | =$ | |
| OG-057 OR | ( ) | ( ) | ( ) | ( ) | -------- |
=[ |
@ $71.64 | =$ | |
| OG-057 CA | ( ) | ( ) | ( ) | ( ) | ( ) |
=[ |
@ $77.04 | =$ | |
| OG-100 T | -------- | ( ) | ( ) | -------- | -------- |
=[ |
@ $95.28 | =$ | |
| OG-911 BK | ( ) | ( ) | ( ) | -------- | -------- |
=[ |
@ $89.40 | =$ | |
| OG-117 | ( ) | ( ) | ( ) | ( ) | ( ) |
=[ |
@ $135.36 | =$ | |
| OG-118 | ( ) | ( ) | ( ) | ( ) | ( ) |
=[ |
@ $147.72 | =$ | |
|
|
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|
NOTES: |
Sub Total = | ||||||||
| ========= | |||||||||
| For
WI Delivery, Add 5.5% Sales Tax = |
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|
Free Shipping To Lower 48 States = |
Free |
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|
Thank You For Your Order ! |
========= | ||||||||
|
Make Checks Payable to John T. |
Order Total = |
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