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The Chair Place & |
| To order by check, or money order, please print this form, complete and mail to the address below. |
| Name_______________________________________________________________________ |
| Address_____________________________________________________________________ |
| City_________________________________________State________Zip________________ |
| Phone_______________________________Email___________________________________ |
PRICE LIST |
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| Item Name | Price | Qty. | Total |
| ____________________ | $___________ | _____ | $___________ |
| ____________________ | $___________ | _____ | $___________ |
| ____________________ | $___________ | _____ | $___________ |
| ____________________ | $___________ | _____ | $___________ |
| SUBTOTAL | $___________ | ||
| TAX | $___________ | ||
| TOTAL | $___________ | ||
Thank You for your Order! |
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