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Faering Design, Inc.
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| To order by check, or money order, please print this form, complete and mail to the address above. |
| Name_______________________________________________________________________ |
| Address_____________________________________________________________________ |
| City_________________________________________State________Zip________________ |
| Phone_______________________________Email___________________________________ |
| Payment Method: _____Check _____Visa _____Mastercard |
| Credit Card#_________ _________ _________ _________Expiration date______/________ |
| Signature____________________________________________________________________ |
| Item Name | Size | Qty. | Price | Total | ||||||||||||||||||||||
| ____________________ | ______ | ______ | $___________ | $___________ | ||||||||||||||||||||||
| ____________________ | ______ | ______ | $___________ | $___________ | ||||||||||||||||||||||
| ____________________ | ______ | ______ | $___________ | $___________ | ||||||||||||||||||||||
| ____________________ | ______ | ______ | $___________ | $___________ | ||||||||||||||||||||||
| ____________________ | ______ | ______ | $___________ | $___________ | ||||||||||||||||||||||
| ____________________ | ______ | ______ | $___________ | $___________ | ||||||||||||||||||||||
| ____________________ | ______ | ______ | $___________ | $___________ | ||||||||||||||||||||||
| ____________________ | ______ | ______ | $___________ | $___________ | ||||||||||||||||||||||
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SUBTOTAL | $___________ | ||||||||||||||||||||||||
| TAX (VT orders) | $___________ | |||||||||||||||||||||||||
| HANDLING | $ 2.00 | |||||||||||||||||||||||||
| SHIPPING (see chart) | $___________ | |||||||||||||||||||||||||
| TOTAL | $___________ | |||||||||||||||||||||||||
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