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Recovery-Gifts.net |
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Order Form |
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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: |
| Street Address: | ||
| City: | State: | Zip Code: |
| 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: | ||
| City: | State: | Zip Code: |
| 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 (Non Books): $ 0.00 - $19.99 = $2.00, $20.00 - $49.99 = $4.00, $50.00 - $99.99 = $5.50, $100.00 - $199.99 = $7.00, and $200.00 and up - $10.00 Shipping: |
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Shipping Charges (Books): $ 0.01 - $99.99 = 10%, $100.00 - $199.99 = 8.0%, $200.00 - $399.99 = 7.0%, above $400.00 = 6.0% Shipping: |
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Please make check payable to; DEK ENTERPRISES TOTAL: |
Shipping charges apply only to shipping in continental US.