Alpaca Kerosene Cooker |
Print This Form |
| Order Date ____/____/____ | Order by, Fax - Mail - Telephone |
| Qty | Description | Each |
Total |
| AWCS-85 Alpaca Kerosene Fired Cooker | $ 84.95 | ||
S&H- $15.00 each (Contact us for quantity pricing) |
S&H |
||
| Add appropriate sales tax if
shipping to an address in: Pennsylvania 7% West Virginia 6% |
Sales Tax |
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Total |
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Ship To: Name ______________________________________________________________________
Address (No shipments to PO Boxes) ___________________________________________________
____________________________________________________________________________________
City _______________________________________State ________ Zip Code ___________________
Telephone __________________________________________________________________________
Payment Method:
¨ Check ¨ Money Order ¨ Visa ¨ Master Card ¨ NovusCredit Card # ____________
·____________·____________·____________ Exp. ______/______Name on card if different from Ship To:_________________________________________________
Card Holder Address if different from Ship To: ___________________________________________
_____________________________________________________________________________________
Cardholder Signature_________________
Duvall Heating & Air Conditioning Inc., 500 Third Avenue, Elizabeth PA 15037 Fax:412-384-3531 Tel:412-384-6972