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| To order by check, money order, or credit card, please print this form, complete and mail to the address above. Orders may be phoned in on Mon. - Fri. 9AM to 5PM MST. We accept PayPal payments at the time items are ready for delivery. Please contact us for the PayPal address. |
| Name_______________________________________________________________________ |
| Address_____________________________________________________________________ |
| City_________________________________________State________Zip________________ |
| Phone_______________________________Email___________________________________ |
| Payment Method: _____Check _____Visa _____Mastercard |
| Credit Card#_________ _________ _________ _________Expiration date______/________ |
| Signature_____________________________________________________ V# ___ ___ ___ (Last 3 numbers from the signature strip) |
| Item # | Item Name | Price | Qty. | Total | ||
| ___________ | ____________________ | $___________ | _____ | $___________ | ||
| ___________ | ____________________ | $___________ | _____ | $___________ | ||
| ___________ | ____________________ | $___________ | _____ | $___________ | ||
| ___________ | ____________________ | $___________ | _____ | $___________ | ||
| ___________ | ____________________ | $___________ | _____ | $___________ | ||
| ___________ | ____________________ | $___________ | _____ | $___________ | ||
|
SUBTOTAL | $___________ | ||||
| TAX (CO residents, please add 3.2% tax. Denver residents please add 7.72%) | $___________ | |||||
| TOTAL | $___________ | |||||
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