ORDER FORM
PRINT
IT OUT, FILL IT IN, SEND IT OFF
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KEN'S TIE FLY Kenneth Dewitt P.O. Box 67 Fort Bragg, CA 95437 |
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| NAME | ||||
| STREET ADDRESS | ||||
| CITY, STATE & ZIP | ||||
| PHONE NUMBER | ||||
| ITEM | FLY NAME | QUANTITY | PRICE EACH | TOTAL |
| SUBTOTAL | ||||
| CALIFORNIA RESIDENTS PLEASE ADD
7.25% SALES TAX |
7.25% TOTAL | |||
| GRAND TOTAL | ||||