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For Questions
Contact Bert At
813-493-0493 |
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ORDER
INFORMATION FORM
Print and FAX to
"Cool Stuff For Boats"
Fax # 1-813-281-1175
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| Customers Name:___________________________________________
Please print |
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Product
Number listed on the price list |
Product
Description |
Quantity |
Total |
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Sub total of
Purchase |
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Florida
Residents (Only)
apply state tax |
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Total Purchase |
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NAME |
______________________________ |
STREET |
______________________________ |
CITY |
____________________ |
STATE |
_____________ |
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ZIP Code |
_____________ |
DAYTIME PHONE |
____________________ |
NAME |
______________________________ |
STREET |
______________________________ |
CITY |
____________________ |
STATE |
_____________ |
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ZIP Code |
_____________ |
DAYTIME PHONE |
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YOUR
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Fax 1- 813 -
281 - 1175
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