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CJ Central Vacuum Mail-In Order
Form We will
accept cash, check or money order with this form |
| Customer Name:_______________________ |
Date: _____________ |
| Address:_____________________________ |
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_____________________________ |
Phone Number:_________________________ |
| City, ST _____________________________ |
Other Phone:
_________________________ |
| Zip Code ____________________________ |
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Part Number |
Price |
Quantity |
Item Total |
Extended Total |
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| **Shipping &
Handling |
$
10.00 |
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sub total |
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6.5% tax |
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TOTAL |
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We accept cash, check, or money order
**Shipping costs may vary depending upon address location
and the total weight of the order. For questions, call our office at
(941) 756-7785 |
| Mail order form with payment to:
CJ
P.O. Box 14573
Bradenton, FL 34280
Thank you for your patronage! Feel free to contact
our office with any questions or comments at: Office
(941) 756-7785 Fax (941) 756-6625 |