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Click Here For a Microsoft Word®
Version of the Order Form
Click Here For a PDF Version of the Order Form
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ORDER FORM
NAME
________________________________________________
COMPANY
________________________________________________
ADDRESS
________________________________________________
CITY/STATE
_______________________________ ZIP ____________
PHONE
________________________________________________
FAX
________________________________________________
EMAIL
________________________________________________
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ITEM #
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Description
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Amount
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WI Residents, please add 5% sales tax.
Please add
any shipping charges.
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Sub
Total
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Sales Tax
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Shipping
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Total
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 Robert L Fox
1235 N
Westfield St.
Oshkosh,
WI 54902-3218 USA
Phone: (920)
235-4669
Fax: (920)
235-0822
Email:
foxbooks@att.net
Website:
http://foxminingbooks.com/
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