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| Mail-In Order
Form |
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| Part No. |
Description |
Quantity |
Price |
Extended |
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Shipping |
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TOTAL |
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| Calculate
Shipping |
Terrapin, Inc.
P.O. Box 61463
Vancouver, WA 98666 |
| $20.00 and less |
$4.95 |
| $20.01 - $40.00 |
$5.95 |
| $40.01 -
$60.00 |
$6.95 |
| $60.01 -
$99.99 |
$7.95 |
| $100.00+ |
Free |
| *All
international orders (including Canada) will be charged the actual cost
of shipping. |
| Shipping
Address |
Billing
Address
...if different than shipping address |
| Name: |
Name: |
| Address: |
Address: |
| City: |
City: |
| State: |
State: |
| ZIP |
ZIP: |
| Phone: |
Phone: |
| e-mail: |
e-mail: |
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TOTAL:
$
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make checks payable to
Terrapin, Inc.
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□ Check
Enclosed
□
Master
Card
□ Visa
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Card
No: |
Expiration: |
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Authorized Signature: |
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