TO ORDER BY MAIL
2680 Bent Hickory Circle
Longwood, FL 32779
|
BY PHONE
TOLL FREE
1-888-44-PICKLES
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BY FAX
1-407-869-9189 |
Name____________________________________________________________
Address___________________________________________Apt
# __________
City_______________________________State_________Zip______________
Phone (______)_______________E-mail_______________________________
To Charge your purchase, check the
appropriate box and complete below
Exp.date_________
www.plusmaternity.com
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ITEM #
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QTY |
DESCRIPTION
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COLOR |
SIZE |
PRICE |
TOTAL |
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IF
TOTAL
ORDER
IS
|
$30.00
OR
LESS
|
$30.01
to
$60.00
|
$60.01
to
$100.00
|
$100.01
to
$350.00
|
OVER
$350.00
|
|
PLEASE
ADD
|
$6.50
|
$9.00
|
$11.50
|
$14.00
|
FREE!
|
*FloridaResidents 7% |
Merch
Total
|
Discounts
|
|
Subtotal
|
|
Ship/Hand
|
|
Subtotal
|
|
Sales
Tax*
|
|
TOTAL
|
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