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Love Heidi P.O. Box 53 Glenford, NY 12433 P: (845) 417-3067 Email: heidisheasby@hotmail.com |
¤ Fill out this form within the Microsoft Word. Simply click on the fields you wish to fill out. Then print this form and mail it back to me.
¤ You can also print the form and fill it out using a pen. Then simply mail it back to me. |
Name |
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Daytime PHONE NUMBER
Shipping Address |
Billing Address |
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Street |
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Street |
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City |
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City |
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State |
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ZIP |
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State |
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ZIP |
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Shipping Method |
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q FedEx Ground q Priority Mail q 2nd Day Air |
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Item # |
Description |
Size |
Qty |
Price |
Total |
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Subtotal |
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Shipping & Handling |
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Total |
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Shipping & Handling Table |
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order total |
FedEx Ground |
Priority |
2nd Day Air |
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$0.01 - $20.00 |
$8.95 |
$11.00 |
$19.95 |
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$20.01 - $40.00 |
$10.95 |
$16.50 |
$19.95 |
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$40.01 - $50.00 |
$12.95 |
$19.10 |
$25.00 |
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$50.01 - $100.00 |
$15.95 |
$21.70 |
$35.00 |
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$100.01 - $200.00 |
$18.95 |
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$200.01 - $300.00 |
$21.95 |
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Visit us on the web at www.loveheidi.com