Clappers
International
lister dot ultrakohl dot com
2103 North Decatur Road PMB 224
Decatur Georgia 30033-5305
Phone: 404-686-2926
Fax: 404-686-4978
Clappers
International |
|
| Sold To: | Ship To: |
| Name: | Name: |
| Company: | Company: |
| Address: | Address: |
| City and State: | City and State: |
| Postal/Zip Code: | Postal/Zip Code: |
| Country: | Country: |
| Telephone: | Telephone: |
| Email: | Email: |
Quantity |
Description |
Unit Price |
Total Amount |
| LKJ CD More Time | $12.00 | $ | |
Sales
Tax |
$ | ||
Shipping and Handling |
$ 2 . 00 | ||
Grand Total |
$ | ||
*Print and Complete the order form. Add sales tax where applicable.
Make checks 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)]