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Kristina Sachs 
"For Such A Time As This"
Order Form
 
05/11/01 08:11:29 AM
Note: press the Tab key to jump from line to line
All Payments are to be in US FUNDS

Bill to:

Ship to: ( same as "bill to" if blank)
First Name:
Last Name:
Street Address
City: State:
Country: Postal Code:
Email:
Phone:
First Name:
Last Name:
Street Address
City: State:
Country: Postal Code:
Email:
Phone:

 

ITEM

DESCRIPTION

QTY

RATE

AMOUNT
CD2001/01 For Such A Time As This $16.95
 

Sub Total

  

 
 

(California residents only) CA Tax

  

8 %
 

 USA Shipping/Handling  

   $3.00
     

TOTAL

 
Payment Options
(Print out the completed form)

Mail Orders

 Mail the form with a check /  money order (in US Funds) made out to:

Kristina Sachs 
PO Box 879
San Carlos, CA
USA 94070
Phone: (650) 637-8218
Fax: (415) 789-9195

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