Order Form
Name:
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Address:
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City, State, Zip:
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Phone Number:
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Item# / Description
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Quantity
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Price Each
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Total
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Shipping
Orders Under $50.00 --- $4.95
Orders Over $50.01 --- $5.95
Packages are mailed USPS - First Class Mail
Insurance: $1.75 up to $50.00 - Add $1.00 for each additional $100 of insurance
If a shipment has been damaged in transit, please save all
packing materials and notify us immediately.
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Merchandise Total
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Shipping Charges:
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Insurance (Optional):
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Order Total:
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Make Checks or Money Orders payable to: "Gerry Bowman"
Print and Mail Along with Payment To:
Gerry Bowman
112 81st Street
Lubbock, Texas 79404
Cell Phone: (806) 281-8478
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