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- ORDER FORM 1.4
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- STEVE SILVA
- 3902 NORTH 87TH STREET
- SCOTTSDALE, AZ 85251
- EXTENDED
- ITEM QUANTITY PRICE PRICE
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- SSQL ______ $30.00 ______
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- Shipping and Handling $2.50
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- TOTAL ______
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- Please make check payable to: STEVE SILVA
- Sorry, NO credit cards
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- Name ________________________________________________________
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- Address ____________________________________________________
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- ____________________________________________________
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- City _______________________________________________________
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- State _____________ Zip __________________
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