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~ Fax or Mail Order Form ~ |
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(Please write legibly - unreadable or incomplete orders will not be shipped) |
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Vaquero Enterprises |
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| www.elvaquero.com | ||||
| Ralph Pavey | ||||
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PO Box 642 |
Phone: (916) 687-8658 |
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Wilton, CA 95693 |
Fax: (916) 687-7018 |
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Date |
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| Ordered By: | Ship To: (if different than "Ordered By") | |||
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| Address | ||||
| City | ||||
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Quantity |
Description |
Price |
Total |
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| Subtotal | |||||
| California residents add 7.75% sales tax |
Sales Tax |
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| See website page "How to Order" for shipping charges |
Shipping |
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Please make payment to Vaquero Enterprises |
Total |
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| Credit Card: o MasterCard o Visa o American Express | ||||||
| Card Number |
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Verification No. |
Expiration Date |
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| Signature |
Date |
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