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Order Form

Your E-Mail Address, please fill this out   Daytime Phone Number
 

My Order

# Item  Qty Size Cut  Color Description Cost Per Item   Total Cost
1  
2  
3  
4  
5  
        FL sales tax  
        shipping  
                            * Rush orders add 

*$5.00         (2-3 weeks) *$10.00        (1 week)
        TOTAL  

Domestic Shipping: All orders are shipped USPS or FedEx.  
Method Of Payment: (Florida Residents sales tax of 7% must be included).
How to Order By Mail: Print out this order form and send, check or money order to the address below:

* Please Note:  Orders generally take 4-6 weeks.
Rush orders are available for an additional $5.00 for 2-3 weeks or $10.00 for 1 week.
 You need to place rush orders directly at 386-931-3308. 

Check Enclosed Make checks out and mail to:
Dana Brooks
6101 W 2nd Manor
Palatka, FL  32177  USA		  

Shipping Information

Ship To: Name:
  Street:
  City, State, Zip Code: