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| Customer Information: (please
print) |
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| Name |
_______________________________ |
Phone # |
______________________________ |
| |
|
| Address |
____________________________________________________________________ |
| |
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| City/State/Zip |
____________________________________________________________________ |
|
|
| Ship To: (if different from
above address) |
| |
|
|
| Name |
____________________________________________________________________ |
| |
|
| Address |
____________________________________________________________________ |
| |
|
| City/State/Zip |
____________________________________________________________________ |
|
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| Method of Payment: |
| |
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| Check (made payable to "The FrameLoft") ___ MasterCard ____Visa
___ |
| |
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| Card Number________________________________ Expiration Date _________ |
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| Order Information: |
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| Shipping and Handling |
|
| Shipping
& Handling for Matted Prints |
| One
print - |
$5.00 |
| Up
to $240.00 - |
$9.00 |
| $240.00-$480.00
- |
$18.00 |
| |
|
Merchandise Total |
__________ |
Mass. Sales Tax
(Residents only, add 5%) |
__________ |
|
|
Shipping and Handling |
__________ |
| TOTAL - Thank You |
__________ |
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