Please print, complete and mail order form to the address below.
Name:______________________________________________________________
Address:________________________________________________Apt#________
City/State/Zip:________________________________________________________
Daytime Phone:______________________________
E-Mail Address:_______________________________
Ship to address if different from above:
__________________________________________________________________
Method of Payment: WE DO NOT ACCEPT C.O.D.'S
____ Check ____ Money Order
Make checks payable to: Tim Mierzwa
Mail Orders to: Tim Mierzwa, PO Box 1571, Jackson, MI 49201
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TITLE
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QUANTITY
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PRICE
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TOTAL
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Spring-Loaded Fish Hooks, Traps & Lures
Autographed Copy
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$29.95
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$
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Total # of Books
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#____________
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Merchandise Total
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$____________
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Sales Tax (Michigan Residents add 6%)
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$____________
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Subtotal
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$____________
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Shipping & Handling
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$____________
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Total Amount Enclosed
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$____________
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Shipping & Handling Charges
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1 Book
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Additional Books
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$4.00
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add .50/each
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Pricing is quoted in U.S. Dollars. Shipping & handling charges apply for standard shipping to addresses in the U.S. Shipping to other countries will be at applicable UPS or Federal Express Rates.
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