| Your full
name _____________________________________________________ Mailing
address ___________________________________
___________________________________________________________________
Phone
number ____________________________________
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address _______________________________________
Referred
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| Products | Quantity | Unit
Price | Total
Price | | | | | |
| | | | |
| Rush order
additional $15 for continental USA orders
only. | |
| For all orders inside the USA
please add $5.95 shipping & handling | |
| New York State Sales Tax 8.625%
if you live in NYS (including shipping charges) | |
| For all orders outside the USA
please add $14.85 shipping &
handling | | | Grand
total | | If
you need more room for your order, you can continue it on another piece of paper.
Make all money orders out to:
Freesom Hill, LLC
PO Box 618
Bayport, NY 11705 | We
do not accept checks | | If you
have any questions please contact
us |
|