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WILDCAT DEN ORDER FORM
Please print neatly.
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Billing Address
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Shipping Address (if different from billing address) |
| Name: |
Name: |
| Street Address: |
Street Address: |
| City, State, Zip: |
City, State, Zip: |
| Daytime Phone: |
Daytime Phone: |
| Fax: |
Fax: |
| Email Address: |
Email Address: |
Method of Payment (Bank check or money order made out to Rilley High School)
__ Check __Money Order
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Qty
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Item
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Size
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Unit Price
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Total
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Shipping and Handling Charges:
(Must have street addresses, sorry no P.O. Boxes)
Merchandise Total:
$0.01-$20.00 add $5.00 S&H
$21.00-$40.00 add $6.00 S&H
$41.00-$60.00 add $7.00 S&H
$61.00-$80.00 add $8.00 S&H
$81.00-up add $9.00 S&H
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| Subtotal |
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| Shipping/Handling |
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| Total |
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Print this form and send it with your payment to:
The Wildcat Den - Riley H.S.
1902 S. Fellows Street
South Bend, IN 46613
Delivery: Unless otherwise indicated, all in-stock items will ship via Priority Mail within 5 working days. If difficulty
with our supplier should arise, we reserve the right to substitute a comparable item.
Back to the Wildcat Den
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