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TPLBD Order Form!
Please print this order form using your browser's print button and mail in with payment. �Thank you so much.
ITEM # |
SIZE or BUST |
BRIEF ITEM DESCRIPTION |
ITEM PRICE |
QTY |
TOTAL |
| # | _ |
_ | $ | _ |
$ |
# |
_ |
_ | $ | _ |
$ |
| # | _ |
_ | $ | _ |
$ |
| # | _ |
_ | $ | _ |
$ |
| # | _ |
_ | $ | _ |
$ |
| # | _ |
_ | $ | _ |
$ |
| Need | additional |
Total for Items Above |
------------------- |
----> |
$ |
space? |
Write on the |
VA RESIDENT? ~�add 4.50 % |
sales tax ------- |
----> |
$ |
back of |
printed order |
Shipping Chgs ~ amount E-mailed |
from TPLBD! | ----> |
$ |
form! |
Thank you. |
Total Payment Enclosed |
------------------- |
----> |
$ |
NAME �_____________________________________________________
ADDRESS �____________________________________________ �CITY _____________________________
STATE �_____________� ZIP CODE �_____________ �E-MAIL �__________________________________
PHONE #______ - ______ - _______ (for problems only!)
SHIPPING ADDRESS (only if different)
NAME �_____________________________________________________
ADDRESS ______________________________________________ CITY �____________________________ �
STATE �_________________ �ZIP CODE �_____________