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Recovery-Gifts.net
DEK Enterprises
120 Maple Dr.
Berlin, MD. 21811
(866) 540-4847 |
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Order
Form |
Print this form on
your printer, complete it in pen or pencil, and mail it to us along with a
personal check made payable to: DEK Enterprises. |
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Last Name: |
First Name |
MI: |
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Street Address: |
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Home Phone: |
Work Phone: |
e-mail Address: |
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Shipping Information: (If Different from person
above) |
| Last Name: |
First Name |
MI: |
| Street Address: |
Number
Ordered |
Item
Nbr. |
Description |
Color
(If Appl) |
Size
(If Appl) |
Unit
Price |
Total
Price |
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Sub Total: |
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MD. Residents - please add 5% Sales Tax: |
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Shipping Charges: $2.00
up to
$11.99, $4.75
- $12 - $39.99, $7.00
- $40.00 - $99.99, & $8.50or $100.00
- $199.99 and
$11.00 FOR $200.00 and
up. Shipping: |
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Please make check payable to;
DEK ENTERPRISES
TOTAL: |
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