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BRM OFFROAD |
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GRAPHIC SHOP ORDER FORM |
Please complete the order form below and mail it in with your money order
| CUSTOMER INFO: | SEND TO: | |
| NAME:_______________________________________________________ | BRM OFFROAD | |
| ADDRESS:____________________________________________________ | 14830 N. ALAMOSA CIRCLE | |
| CITY, ST, ZIP: ________________________________________________ | FOUNTAIN HILLS, AZ 85268 | |
| PHONE #: ____________________________________________________ | (602) 421-0880 / (602) 363-5794 | |
| E-MAIL: ______________________________________________________ | e-mail: BRM@BRMOFFROAD.com | |
| ITEM / DESCRIPTION | SIZE / STYLE | COLOR | QTY. | PRICE EACH | TOTAL |
| SUB TOTAL | $ | ||||
| Arizona Residents add 9.9% sales tax | $ | ||||
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Graphic Shop Shipping: |
$ |
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| $7.50 for orders under $29.99 | |||||
| $9.50 for orders between $30-$99.99 | |||||
| $11.50 for orders over $100 | |||||
| TOTAL | $ |
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