ORDER FORM
O. E. "DUSTY" ROYER
34 LAKE CHARLES
ST. PETERS, MO 63376
INSTRUCTIONS: You may print this form and mail your order to the above address. For faster service, you may e-mail your order by sending all of the information listed below. If you wish, please include a telephone number for us to call you with any questions regarding your order.
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NAME: |
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ADDRESS: |
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E-MAIL ADDRESS: |
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DATE: |
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DESCRIPTION |
CATALOG# |
CONDITION |
PRICE |
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TOTAL PURCHASES |
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ADD SALES TAX 7% (MO ONLY) |
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P & H (SEE TERMS AND CONDITIONS) |
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TOTAL COST OF ORDER |
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METHOD OF PAYMENT |
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