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Please print, fill out, and fax to (206) 762-5835
| Ship To: | Bill To: |
| Payment Information | |
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Card Type:
Card Holder |
Account Number:
Expiration Date: |
| Product Description | Price | Qty | Total |
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Subtotal
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Shipping U.S. 3 day select $4.00 *
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Shipping U.S. Next day air $15.00
*
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Alaska, Canada, and Hawaii $6.00 *
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Sales Tax = 8.6% (Washington State residents only) |
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Total
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* Bulky or Oversized
packages may require more shipping.
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