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| Billing Information | ||
| *Full Name: | ||
| Company: | ||
| *Day Phone: | ||
| Home Phone: | ||
| Fax: | ||
| *Email: | ||
| *Confirm Email: | ||
| *Address1: | ||
| Address2: | ||
| *City: | ||
| *State/Province/County: | ||
| *Postal/Zip Code: | ||
| *Country: | ||
| *Indicates a REQUIRED FIELD | ||
| ITEM | SIZE | PRICE | QUANTITY | SUBTOTAL | |
HB |
$19.99 |
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| HB TEE SHIRT |
Medium Large XLarge |
Black | $20.00 | ||
| Plus Size | XXLarge |
Black | $27.00 | ||
Subtotal: |
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Add $5.00 for Shipping and Handling |
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TOTAL: |
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| PRINT FILLED OUT ORDER FORM | ||
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We accept Visa/Mastercard Call us at (562) 803-9484 to order by phone |
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| Quantity | Description | Total |
| Product Total | ||
| Grand Total | ||
(I've included
all my billing and delivery information below)
1) Complete the following form HAMPTON BLOWERS 11255 Woodruff Ave. Ste. C Downey, CA 90241 5) Please allow 2 weeks for delivery. |
Call us at (562) 803-9484 or fax in the order (562) 866-9453 |
