Clappers International lister dot ultrakohl
dot com |
|
| Sold To: | Ship To: |
| Name: | Name: |
| Company: | Company: |
| Address: | Address: |
| City and State: | City and State: |
| Zip / Postal Code: | Zip / Postal Code: |
| Country: | Country: |
| Telephone: | Telephone: |
| Email: | Email: |
Quantity |
Description |
Size |
Unit Price |
Total Amount |
|
| Marathon T-Shirt | (Fat) XL | $15.00 | $ | ||
| Marathon T-Shirt | (Fatter) XXL | $15.00 | $ | ||
| Sales Tax (GA Residents 6%) |
$ | ||||
| Shipping and Handling | $ 3 . 50 | ||||
| Grand Total | $ | ||||
| Complete the order form. Add sales tax where applicable. Make cashiers check or money order payable to ULTRAKOHL (US funds only). |
| Mail to : | ULTRAKOHL 2103 North Decatur Road Suite 224 Decatur Georgia 30033-5305 USA |
*[Either print this order form using your browser
or download/view/print order form.pdf
(Adobe Acrobat)]
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