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Thomas M.
Baxa tbaxa@baxaart.com www.BaxaArt.com Make
Check or Money Order Payable to : Thomas M. Baxa |
Order Form
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Bill to: ________________________________________ Address: _______________________________________ City, State, Zip: _________________________________ Phone #: _______________________________________ Email: _________________________________________ __ Would you like to
receive updates about WF and BaxaArt.com via email? |
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COOL STUFF |
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Item Description |
Cost per item
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Quantity |
Total Amount |
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Payment type (circle
one): Check or
Money Order |
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Merch. Total: |
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Shipping Chart (USA) |
Discount: |
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Total Cost |
Fee |
Total Cost |
Fee |
8.25% CA sales tax: |
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$0-$15.00 |
$3 |
$125.01-$899.99 |
$30 |
Shipping (see chart): |
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$15.01-$60.00 |
$7 |
$900-up |
$60 |
SubTotal: |
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$60.01-$125.00 |
$12 |
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minus Deposit: |
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International
shipping will be more-email me first |
TOTAL Amount
Due: |
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Notes: |