| ORDER FORM | ||||
|---|---|---|---|---|
| QTY | PACKAGE OF | PRODUCT | UNIT PRICE | TOTAL |
| 100 | Shirley's Temple Guards | $ 6.00 | ||
| 600 | Shirley's Temple Guards | $ 24.00 | ||
| Shipping and Handling | $ 3.50 | |||
| Massachusetts Residents add 5% Sales Tax | ||||
| Total Amount Enclosed | ||||
Make check or credit card payable to S & R Company
| BUSINESS NAME: | ______________________________________________________ |
|---|---|
| MAILING ADDRESS: | ______________________________________________________ |
| ______________________________________________________ | |
| ______________________________________________________ | |
| PHONE: | ______________________________________________________ |
| CREDIT CARD: | _________________________________ EXP: ________________ |
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Shirley's Temple Guards 4 Wellesley Road Natick, MA 01760 |
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| Phone: | 1-508-877-6186 | Email: | SNR909@msn.com | |
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| Fax: | 1-508-877-6186 | Website: | www.opcweb.com/stg | |