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ORDER FORM
Please print out this form to
use if you wish to mail an order to:
CAVERS CONNECTION
16 WEST GREEN ST,
SHIREMANSTOWN, PA.
17011
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| Order Placed By |
Order Ship To (If Different) |
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Name___________________________
Address__________________________
City_______________________
State_____Zip_______________
Daytime Phone___________________
Email Address ___________________________
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Name_________________________
Address_______________________
City_______________________
State_____Zip_______________
Daytime Phone___________________
Email Address _________________
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Important
Occasionally we may be out of stock on a variety. Please let
us know how you would like us to handle this.
Substitute Item_____ Back Order Item_____ Delete Item_____
Call Me_____
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| Item # |
Qty
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Description
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Price Each |
Total Price |
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LIST PRICE --------------->SHIPCOST
$0.01- $20.00 -----------> $4.95
$20.01-$40.00 ----------> $5.95
$40.01-$65.00 ----------> $6.95
$65.01-$85.00 ----------> $7.95
$85.01-OR MORE -------> $8.95 |
Shipping & Handling__________
Sub Total___________________
PA Sales Tax 6.0%___________
(Pennsylvania Residents Only)
Check/Money Order (Payable to Cavers Connection)
TOTAL DUE:___________________
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