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Complete Form and Mail
Make Check/Money Order Payable to: Les Brown / Dell Caps PO Box 2263 Quincy Mass. 02269 |
| Bill To: | Ship To: | ||||
| Name: | Name: | ||||
| Address: | Address: | ||||
| City: | State: | Zip: | City: | State: | Zip: |
| Phone: | Email: | ||||
| Item # | Color | Size | Qty. | Item Description | Price Each | Total Price |
| Dell2002 | 1Gray/1Purple | Style 1 | 2 Pack of Trackcaps-FREE SHIPPING | 12.99 | ||
| Dell2004 | 2Gray/2Purple | Style 1 | 4 Pack of Trackcaps-FREE SHIPPING | 19.99 | ||
| DellBlue2002 | Blue | Style 2 | 2 Pack of Trackcaps-FREE SHIPPING | 24.99 | ||
| DellBlue2004 | Blue | Style 2 | 4 Pack of Trackcaps-FREE SHIPPING | 39.99 | ||
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Free Shipping on all Trackcap Orders
USA : Free Canada: FreeInternational: Add +1.75 |
Order Subtotal: |
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Massachusetts Residents Add 6.0% Sales Tax: |
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Add Shipping & Handling if you use chart below: |
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Your Order Total Due: |
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Use
Shipping and Handling
Chart
below if you prefer us not to ship to you via USPS FirstClass
Mail (Check One) __ USPS Priority Mail __ US Mail Parcel Post __ DHL International |
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Order Subtotal $0.00 to $11.99= $12.00 to $24.99= $25.00 to $44.99= $45.00 to $59.99= $60.00 to $99.99= $100.00 to $199.99= $200.00 to $999.99= |
USPS Priority Mail $6.49 $6.99 $8.49 $9.49 $9.99 $10.99 $16.99 |
Low Cost Ground $4.49 $4.99 $6.49 $7.49 $7.49 $8.99 $14.99 |
Int. Order Subtotal $0.00 to $14.99= $15.00 to $49.99= $50.00 to $99.99= $100.00 to $149.99= $150.00 to $199.99= $200.00 to $349.99= $350.00 to $499.99= |
DHL International $12.49 $31.49 $34.49 $41.49 $45.49 $61.49 $68.49 |
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| PAYMENT METHODS. PayPal, Check or Money Order. | |
| Signature: | Today's Date: |
©2003 Trackcap.com