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ORDER FORM -- SHOREWAY DISTRIBUTORS

Purchaser's Address

Name_____________________________________________________________

Address
___________________________________________________________

City
______________________________________________________________

State
_________Zip__________________________________________________

E-Mail
_____________________________________________________________

Ship To Address

Name______________________________________________________________

Address
___________________________________________________________

City
______________________________________________________________

State
_________Zip_________________________________________________

E-Mail
____________________________________________________________

THIS IS NOT AN ON-LINE ORDER FORM AND NEEDS TO BE PRINTED OUT.

Item Number

QTY.

Size/Color

Name of Item

Price Each

TOTAL PRICE

           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           

SHIPPING AND HANDLING

MERCHANDISE TOTAL

 
 

ADD

SHIPPING AND HANDLING

 

1 Scrapbooking Pattern

$2.00

(Add the first two lines above) SUBTOTAL

 

2 Scrapbooking Patterns

$2.50

  MARYLAND RESIDENTS ADD 6% SALES TAX

 

3 Scrapbooking Patterns

$3.00

TOTAL AMOUNT ENCLOSED

 

4 Scrapbooking Patterns

$3.50

   

1 Tote Bag Pattern

$2.00

   

2 Tote Bag Patterns

$3.00

CREDIT CARD PAYMENTS ACCEPTED THROUGH:

Thanks

3 Tote Bag Patterns

$4.00

www.PayPal.com

for your

             1 Bath Dispenser

$8.00

 

Order.

Enclose check or money-order. Sorry no stamps or COD's. -- 10 day waiting period on personal checks.

Shoreway Distributors
P.O. Box 24
Parsonsburg, MD 21849-0024
  E-mail - shoreway77@comcast.net