Labels:text | parallel | screenshot | line | diagram | receipt | number | black and white | rectangle OCR: MAIL ORDER FORM 800-544-1867 The Beverage People TOLL FREE ORDER LINE - P.O. Box 428 Fulton, CA 95439 707-544-2520 - NAME: SHIP TO (if different): ADDRESS ADDRESS - - CITY STATE ZIP CITY STATE ZIF - TELEPHONE TELEPHONE We accept checks, money orders and the following credit cards: Visa MasterCard AmEx # CREDIT CARD NUMBER EXP. DATE NAME AS IT APPEARS ON CARD SHIP WT. QUANTITY DESCRIPTION OF ITEM PRICE TOTAL NON-FOOD ITEMS Taxable sub-total: California residents add 7 1/2% sales tax: FOOD ITEMS Total shipping weight Complete sub-total: (If additional space is needed, please use the other side of this form.) Less volume discount: Shipping and handling: (Malt, sugar, hops, yeast and concentrates.) Total enclosed:
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