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| Item # | Description | Size | Qty. | Price | Total |
|---|---|---|---|---|---|
| _ | _ | _ | _ | _ | _ |
| _ | _ | _ | _ | _ | _ |
| _ | _ | _ | _ | _ | _ |
| _ | _ | _ | _ | _ | _ |
| _ | _ | _ | _ | _ | _ |
| _ | _ | _ | _ | _ | _ |
| Merchandise Total | _ | ||||
| California residents add 7 1/4% Sales Tax | _ | ||||
| Shipping & Handling 1-2 items..$4.50 3-4 items..$6.50 5-6 items..$8.50 |
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| Total Enclosed | _ | ||||
Please allow 4 to 8 weeks delivery. Send Check or Money Order only.