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Sugar Creek Outfitters Order
Form
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Billing Information
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Shipping Information (if different
than billing)
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| Name: _________________________ |
Name: _________________________ |
| Address: _______________________ |
Address: _______________________ |
| City: _________ |
State: ____ |
Zip: _____ |
City: _________ |
State: ____ |
Zip: _____ |
| Phone: ________________________ (day) |
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| Email: ______________________________ |
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Quantity / Size
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Item Description (print)
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Cost/Each
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Total
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____ / ____
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__________________________________
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Method of Payment
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Merchandise Total:
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__ Check
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Make checks payable to:
Sugar Creek Outfitters |
Standard Shipping & Handling:
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_______
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Special/Expedited Delivery Charges:
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_______
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__ MasterCard
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__ Visa
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Subtotal:
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_______
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Credit Card # _________________________
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MO Sales Tax (Subtotal x .0535):
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_______
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Expiration Date:
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Month _____
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Year ______
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Order Grand Total:
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_______
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Signature: ____________________________
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**** THANK YOU ! ***
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Phone Orders
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Fax Orders
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Mail Orders
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573-447-2400
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573-446-9532
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7430 HIGHWAY 40 W
COLUMBIA, MO 65202-7576
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