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| SHIP TO:
Name________________________________________________
Address______________________________________________
City__________________________State_____ Zip__________
Phone #___________________Day / Fax
#______________________
Phone #___________________Evening /
E-mail___________________ |
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Subtotal |
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| *OK residents add 9.5% sales tax |
Tax * |
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Shipping |
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METHOD
OF PAYMENT |
TOTAL |
$ |
Phone Orders: 470-650-4170
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| Please send this form along
with payment to: |
Shipping:(without frame) |
George Bramlett, Artist
137 Red Oak Lane
Conroe, TX 77304
|
$0-49.99 |
$5.00 |
| $50-99.99 |
$10.00 |
| $100-199.99 |
$12.00 |
| $200-plus |
$15.00 |
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Thank You for your order!
We will confirm your order by e-mail or phone.
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