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(Form prints best with background turned off.)
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Item Name and
Stock #
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Size or Color Choice |
Qty
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Price Per Item
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Price Per Item
x Qty |
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Subtotal: † Ga Residents 7% Tax |
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| Grand Total: |
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| **Additional
shipping fees may apply for furniture, statues and garden accessories
or any item of weights exceeding the standard shipping costs** † Georgia residents must include 7% sales tax for mail order purchases |
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Shipping Info: (All submitted information remains confidential) |
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| Name: | |
| Address1: | |
| Address2: | |
| City: | |
| State or Province: | |
| Zip or Country Code: | |
| Country: | |
| Email address: | |
| Phone: | |
| Comments
or Questions: |
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Mail
To: |
Scott-Martinez Accessories Ethnic Accessories 3338L #173 Country Club Dr. Valdosta, GA 31605 |
Check,
Money Order, or Credit Card Only. |
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Phone: |
1-229-219-7733 |
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