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ORDER FORM
| CUSTOMER INFO: |
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SEND TO: |
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NAME:_______________________________________________________ |
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BRM OFFROAD |
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ADDRESS:____________________________________________________ |
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3535 SANGRIA COURT |
| CITY, ST, ZIP:
________________________________________________ |
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IDAHO FALLS, ID 83401 |
| PHONE #:
____________________________________________________ |
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(602) 421-0880 / (602)
363-5794 |
| E-MAIL:
______________________________________________________ |
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e-mail:
BRM@BRMOFFROAD.com |
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| ITEM / DESCRIPTION |
SIZE / STYLE |
COLOR |
QTY. |
PRICE EACH |
TOTAL |
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SUB TOTAL |
$ |
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Idaho
Residents add 6.0% sales tax |
$ |
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Contact us if you need 2-day, 3-day, overnight, or
international shipping. |
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* Note: UPS does not deliver to P.O. Boxes. P.O. Box addresses will ship USPS |
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$5.00 for orders under $14.99 |
$ |
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$8.50 for orders between $15- $29.99 |
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$10.50 for orders between $30-$99.99 |
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$13.50 for orders over $100 |
| TOTAL |
$ |
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