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TO ORDER BY CHECK, PRINT AND
MAIL THIS FORM
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ITEM |
PRICE |
QUANTITY |
TOTAL |
| Christmas |
$17.99 |
_____ |
$______ |
| Simply Relaxing |
$17.99 |
_____ |
$______ |
| Sweet Dreams |
$17.99 |
_____ |
$______ |
| Dakota |
$17.99 |
_____ |
$______ |
| Eden |
$17.99 |
_____ |
$______ |
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|
SHIPPING AND HANDLING ($2.50 on orders
under $100)
($5.00 on orders over $100) |
|
|
$______ |
| TAX (Illinois residents only - 6.5%) |
|
|
$______ |
| |
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| ORDER TOTAL |
|
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$______ |
(For orders of 3 or more CD's, $5 cash back
will be sent to you along with your order)
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| Name:
________________________ |
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| Shipping Address: ________________________ |
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________________________ |
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________________________ |
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Send this form along with your check payable to:
Internet Media Resources
1305 E. Broadway
Streator, IL 61364 |
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