

2645 S. CR
400 E.
Phone:(765)289-5856 Fax:(765)289-5856
E-mail: info@munciemodel.com
Name:_________________________________
Address:_________________________________
City:
Phone:_________________________________
E-mail:__________________________________
Payment Options:______ MasterCard______ Visa_______
Money Order
Card Number:_________________________________________Expiration
Date:______________
Word
Order Form
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STOCK # |
DESCRIPTION |
PRICE |
QUANTITY |
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*Specifications,
availability and prices are subject t change without prior notice. |
TOTAL SALES |
$ |
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IN RESIDENTS 6% TAX |
$ |
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SHIPPING & HANDLING |
$ |
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TOTAL PAYMENT |
$ |
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THANK YOU FOR SHOPPING AT |
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2654 S. CR 400 E.,
Phone: (765) 289-5856
Email: info@munciemodel.com