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Print this form, complete, and send with check or money order
(U.S. funds) to:
Robert Schultz
5637 Beacon Street
Pittsburgh, PA 15217
| Your Name: |
| Shipping Address: |
| E-mail Address for Order Confirmation: |
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Catalog No. |
Title |
Unit Price |
Quantity |
Total |
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Shipping & Handling Charges |
$6.00 (1-3 Items) |
Sub-Total = |
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| $8.00 (4-7 Items) |
+ S&H |
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| $10.00 (8 or More Items) |
Order Total = |
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Please
note! Your check MUST be made out to: Robert Schultz |
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