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Daytime phone number:
_____________________________________________________
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Email
address:______________________________________________________________ |
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RHFC
membership
number |
_____________________________ |
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Size |
Unit Price |
Total |
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North Carolina Residents
Must Include 4.5 % Sales Tax |
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Calculating Shipping |
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$0.01 - 9.99 |
$5.00 |
$10.00
- 49.99 |
$7.75 |
$50.00 - 99.99 |
$8.50 |
$100.00 - 199.99 |
$13.00 |
$200.00 + |
$15.50 |
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Total Sale Including Tax and
Shipping
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$________________________ |
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Payment
method: |
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Check
____ Money
Order _____ |
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