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First Name Last Name MI  

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         City    State  Zip Phone

      E-mail

Credit Card # Expiration Date

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Visa, MasterCard, or Discover only please

  Item# Quantity Description

  Item# Quantity Description

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Shipping Charges

Up to $15.00    $5.95

$15.01-$30.00    $7.75

$30.01-$50.00    $8.50

$50.01-$80.00    $9.50

$80.01-$130.00    $11.25

$130.01-$190.00    $12.95

$190.01-$250.00    $13.95

Over $250.00    $14.50

Inquire for Air and Foreign Shipping Charges

All longarms please add $4.00

Comments

Thank you very much for ordering from us