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12345 Lake City Way #361
Seattle, WA 98125
info@windstreamers.com
206-271-4348
fax: 206-706-WIND (9463)
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| Ordered by:
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| Name:
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_____________________________
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| Address:
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_____________________________
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_____________________________
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_____________________________
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| phone/email
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_____________________________
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| Send to:
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| Name:
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_____________________________
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| Address:
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_____________________________
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_____________________________
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_____________________________
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| phone/email
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_____________________________
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| ITEM#
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DESCRIPTION
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SIZE
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PRICE
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QTY
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TOTAL
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| Shipping and Handling
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| If you order is:
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Add:
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| $25-100
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... $6.95
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| $101-200
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... $8.95
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| $201-300
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... $10.95
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| $301-up
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... $12.95
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| SUBTOTAL
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____________
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| Shipping and Handling
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____________
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| WA state residents add 8.8% sales tax
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____________
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| TOTAL
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____________
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Payable by check or money order.
VISA and MC accepted -
Card #_______________________________________ Expiration date _________
Address on card same as mailing? ________
Please allow 1-6 weeks for delivery
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