Order form

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Eximious | Order Form Order Number (Do not Fill) Date: Buyer's name: Phone Number: Shipping/Delivery Address: E-Mail Address Quantity Item Price Each Subtotal Total: Sales Tax: 7% Shipping/Delivery Charge: $2.00 (50 items or more will be free as well as local areas. Call to see if you qualify.) Grand Total:

Transcript of Order form

Eximious | Order FormOrder Number(Do not Fill)

Date:

Buyer's name: Phone Number:Shipping/Delivery

Address:E-Mail Address

Quantity Item Price Each Subtotal

Total:

Sales Tax: 7%

Shipping/Delivery Charge:$2.00(50 items or more will be free as well as local areas. Call to see if you qualify.)

Grand Total: