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Print This Form and Send With Payment
(please make check or money order payable to Bayley's Boxes) Bayley's Boxes PO Box 73 Black Hawk, Colorado 80422 phone: 303.582.0796........email: sales@bayleysboxes.com |
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Circle
Payment Method.......Check.......Money Order.......Visa.......MasterCard
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| Name (print & signature): | |
| Company Name & Tax ID (If Applicable): | |
| Address: | |
| City: | Credit Card Number: |
| State & Zip: | Expires: |
| Telephone: | Email Address: |
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Item Name and Description |
Price Each |
Quantity |
Total |
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Subtotal:
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Colorado residents please include 3% sales tax: |
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Shipping
&Handling:
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Total : |
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