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Name__________________________________ |
email_____________________________________ |
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Phone__________________________________ |
Fax______________________________________ |
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Billing Address
(Please Print) |
Shipping Address
(Please Print) |
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Address________________________________ |
Address___________________________________ |
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_______________________________________ |
_________________________________________ |
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City____________________________________ |
City______________________________________ |
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State________________________ Zip________ |
State_________________________ Zip_________ |
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Billing Phone_____________________________ |
Shipping Phone_____________________________ |
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Credit Card: VISA MasterCard (Circle One)
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Card #_________________________________ |
Expiration Date______________________________ |
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Signature_______________________________ |
Date_______________________________________ |
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Quantity |
Item Description |
Price per Item |
Totals |
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Coastland Series ~ Birds of Sonoma County
Boxed Gift Set of 9 Giclée Cards & Envelopes
Packaging & Shipping (regular mail within US):
1
box: $2.50
2 -
4 boxes: $3.50
5 -
10 boxes: $5.50
Gift card boxed set offer good Nov. 2007 ~ Feb. 2008 |
$27
per box set |
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Subtotal: |
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Add Sonoma County CA Sales
Tax 7.75%: |
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Packaging & Shipping Cost:
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Amount Due: |
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