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RUBBER MONGER ORDER FORM Print for fax and mail orders

Name:

Mailing Address:

City, State, Zip:

email :
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Description
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We accept MasterCard, Visa,
Discover or American Express.
 
Domestic orders will be sent US Mail, 1st Class or Priority. Overseas orders will be charged actual airmail costs. Most orders shipped
within 2-3 weeks of receipt.
Satisfaction guaranteed.
SHIPPING CHARGES
to US addresses
orders subtotalling...
up to $25 = $5.00
$26-$75 = $6.00
$76-$100 = $7.00
over $100 = FREE!

Subtotal

$

6.1% tax on AZ orders

$

Shipping

$

TOTAL

$

 

Credit Card #
R U B B E R M O N G E R
PO Box 1777
Snowflake AZ 85937-1777

Voice and Fax
(928) 536-5128

Exp. Date

Signature