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ORDER FORM
Please print and send this form by MAIL
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Mail to:
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| Ship to:
Name:____________________________________ Address:__________________________________ City: _____________________ State ________ Country ____________ ZIP/Postal Code _______ Day Phone (_____) __________________ Evening Phone (_____) __________________ Email Address:______________________________
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Ship to different address?
Name:____________________________________ Address:__________________________________ City: _____________________ State ________ Country ____________ ZIP/Postal Code _______ Day Phone (_____) __________________ Evening Phone (_____) __________________ Email Address:______________________________
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Copper Thermette - Quantity?_________ Price __________ Subtotal __________
Amount Enclosed $ ____________ USD Check # ________
or, please charge my Visa/Mastercard # ______________________________________________________ Exp Date______ 3 digit code (on back of card) ________
US Orders: Please Enclose $92.00 USD
plus $15.00 S & H for each Thermette ordered
International Orders please check pricing HERE
Washington State residents please add appropriate sales tax
Please allow 2-3 weeks for shipping!
Many Thanks!