| Mail Order to: |
G. W. Fetter
1615 Ridgewood Ave #105
Holly Hill, FL 32117
|
| Name: |
| Street: |
| City: |
| State, Zip: |
| Email Address: |
| Phone: |
| Fax: |
| Card#: |
| Expiration Date: |
| Circle Card Type: VISA, MasterCard, Discover, American Express |
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|
Please SHIP this order to (if not to me)
| Name: |
| Street: |
| City: |
| State, Zip: |
| Phone: |
| Fax: |
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| Item# |
Description |
Quantity |
Price Ea. |
Total |
| ________ |
______________________________ |
_________ |
$_______.___ |
$_______.___ |
| ________ |
______________________________ |
_________ |
$_______.___ |
$_______.___ |
| ________ |
______________________________ |
_________ |
$_______.___ |
$_______.___ |
| ________ |
______________________________ |
_________ |
$_______.___ |
$_______.___ |
| ________ |
______________________________ |
_________ |
$_______.___ |
$_______.___ |
| ________ |
______________________________ |
_________ |
$_______.___ |
$_______.___ |
| Merchandise Sub Total: |
$_______.___ |
| Shipping & Handling (See Below): |
$2.00 |
| Total: |
$_____.___ |
| USA only,
We only ship to US Addresses. |
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