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ORDER FORM |
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| Fax to: 626-799-7999 Mail to: P.O. BOX 91131, Pasadena, CA 91109-1131 Phone in to: 626-799-5689 |
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| PRODUCTS DESCRIPTION | PRICE | QTY | TOTAL |
| ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ |
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| TOTAL CA RESIDENT-ADD 8.25% TAX SHIPPING & INSURANCE GRAND TOTAL |
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| CUSTOMER INFO & PAYMENT METHOD | ||
| SOLD TO | SEND TO | PAYMENT |
| NAME:___________________ ADDRESS:________________ |
NAME:___________________ ADDRESS:________________ |
[ ] Check or Money Order [ ] VISA [ ] MC CARD#_________________ Exp. Date_____________ Cardholder' Signature ____________________ Date______________ |
| SHIPPING & INSURANCE | |
| REGULAR DELIVERY | RUSH DELIVERY |
orders $4.60 |
(on telephone orders only) We ship UPS 2nd-day air or Priority Mail. Higher shipping charges apply and vary according to the weight of your package. |
| SHOPPING INFORMATION |
| MAIL ORDER Send your order to: PASADENA BALLROOM DANCE ASSOCIATION, INC. P.O. BOX 91131 Pasadena, CA 91109-1131 U.S.A. 24-HOUR FAX ORDER PHONE ORDER AND INQUIRIES |