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ITEM |
QUANTITY |
SIZE |
DESCRIPTION |
PRICE EACH |
TOTAL |
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SUBTOTAL
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| LESS MEMBER DISCOUNT 10% |
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NJ RESIDENTS ADD 7% SALES TAX ON NON
CLOTHING ITEMS |
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SHIPPING CHARGE |
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TOTAL |
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To order additional items, use a separate sheet of
paper |
IF MERCHANDISE
SUBTOTAL IS:
Up to $20.00...........
20.00 to $40.00.....
$40.00 - $70.00...... |
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PLEASE
ADD:
$5.00
$5.95
$6.95 |
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IF MERCHANDISE
SUBTOTAL IS:
$70 - $100.00.............
$100.01 - $130.01......
Over $130.01............. |
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PLEASE
ADD:
$7.95
$8.95
$10.00 |
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PAYMENT BY:
__Check
__ Visa/MasterCard |
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Card#
CVV# (What's This?)
______________________________________________________
Exp. Date:
______________________________________________________
Signature:
______________________________________________________
Print name as shown on card:
______________________________________________________ |
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