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

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item #         description                                                  qty.     price                  total price
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         Merchandise total         $_________                      

                                                                                                              
Va. resident sales tax 5.0% +_________

                                                                                            Shipping & Handling   +_________
                                                                                                       (see chart)

                                                                                          Total Amount Enclosed   $_________



                       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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