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Jewelry-ClosetTM Cabinet

       

Order Form

                   
                   
        Bill To: Ship To:
       

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Name:

       

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        Purchase Order #
         
         
       

Model #

Type Of Wood
 and Finish

Lock
Type

Qty

Unit
Price

Extended
Price

      1st Item   

$

$

      2nd Item

$

$

      3rd Item

$

$

      4th Item

$

$

       

      Subtotal  $

       

 Shipping (Lower 48 States) $

       

 Sales Tax Kansas Residence(6.3%) $

       

Total $

        MC      Visa      Discover      Amex 
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        Expiration Date:
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Mingo Custom Woods

 

1965 W 4th Street, Colby, KS  67701, (800)320-2201, (785)462-8283 Fax

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