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Suite_____________________________________ Address__________________________________ City, State________________________________ Zip Code_________________________________ Daytime Phone ( ____ ) __________________ |
Suite_____________________________________ Address___________________________________ City, State_________________________________ Zip Code__________________________________ Daytime Phone ( ____ ) __________________ |
| COLOR | SIZE | PRICE | QUANTITY | TOTAL PRICE |
| ____________ | _______________ | __________ | x ______ = | ____________ |
| ____________ | _______________ | __________ | x ______ = | ____________ |
| ____________ | _______________ | __________ | x ______ = | ____________ |
| ____________ | _______________ | __________ | x ______ = | ____________ |
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Sub Total
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____________ |
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Breed and Sex of Dog : |
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Shipping & Handling for each coat: $10.00 x
_______________=
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________________ |
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Sub Total
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________________ |
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Sales Tax 6.5%
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________________ |
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Grand Total
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________________ |
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Money Order: Mail to: Mac Industries
4444 N. Orange Blossom Tr.
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Credit Card:
Available through Pay Pal only. Send payment to
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Mac Industries 407 578-7518 Tuesday - Thursday 10 AM - 2 PM EST