Wildflowers Unique Books & Gifts
Printable Order Form
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Name: |
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Address: |
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City/State/Zip: |
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Phone #: |
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PRODUCT NAME & ITEM # (We need both to process) |
QTY |
PRICE |
TOTAL |
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Sub-Total |
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West Virginia only customers add 6% Sales Tax |
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Shipping |
$6.95 |
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Total |
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CREDIT CARD TYPE________________ Cardholder
Name______________________________________
NUMBER___________________________________________________ EXPIRATION
DATE____________ SIGNATURE_______________________________________________________________
DATE__________ |