| SNOWGOOSE | |||
| P.O. BOX 27805 | |||
| DENVER, CO 80227 | |||
| (303) 934-5168 |
ORDER FORM |
| . | Ordered by: We ship primarily USPS-please print complete address. | Ship to: (If different from ordered by). |
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| Name: | . | . |
| Address: | . | . |
| Town/City: | . | . |
| State/Post Code: | . | . |
| Phone: | . | . |
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| Merchandise Total | . |
| CO Residents add 3% Sales Tax | . |
| Shipping & Handling | . |
| Total | . |
| . | Method of Payment (No COD's or cash please) |
| __ | Check or money order enclosed for $_______ |
| __ | MasterCard |
| __ | Visa |
| Signature | ____________________________ |
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| Account Number | Expiration Date |
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| . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . |
| 0 - $25.00 | $4.00 |
| $25.01 - $40.00 | $5.00 |
| $40.01 - $60.00 | $6.00 |
| $60.01 - $90.00 | $7.00 |
| $90.01 - $200.00 | $8.00 |
| over $200.00 | $9.00 |