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LLE Distributors Inc./Aaron S. Brackett Jr. Order Form 1201 N. 29th. Street Richmond, Va. 23223 Phone: 804 349-8590 We're accepting checks, money orders and guaranteed funds as forms of payment. Please print carefully to avoid any shipping delays. Make checks payable to Aaron S. Brackett Jr.(A $30.00 fee for all returned checks). No exceptions... Please process my order for the items I have requested. I am paying with: Money Order_ Check_ Other _____________ Name ____________________________________ Address _________________________________ City ______________________________________ State & Zip _____________________________ Phone _____________________ SHIPPING & HANDLING CHART These charges represent only a part of the actual cost. We'll pay the rest, if your order is: Up to $24.99....................................................... add $6.95 From $ 25.00 to $34.99..................................... add $7.95 From $35.00 to $44.99..................................... add $8.95 From $45.00 to $54.99..................................... add $9.95 From $55.00 to $74.99......................................add $11.95 From $75.00 to $99.99..................................... add $12.95 From $100.00 or over........................................ add $15.00 ________________________________________________________________________________________________ item # description qty. price total price _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Merchandise total $_________ Va. resident sales tax 5.0% +_________ Shipping & Handling +_________ (see chart) Total Amount Enclosed $_________ |
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PRODUCT EXCELLENCE GUARNTEE Every product you purchase from LLE DISTRIBUTORS must be free of defects or you may return it immediatly Please allow 7-14 days for delivery. |
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