Threadneedle Street (425) 391-0528 (voice line)
485 Front Street North, Suite B Please contact us for our fax number if you need to send us a fax
Issaquah WA 98027  
USA
e-mail: custservice@threadneedlestreet.com

Sold to:
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Ship to (if different than sold to):
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Street address:
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City, State, Zip
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Home Phone
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Work Phone
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E-mail address
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Quantity

Description

Unit Price

Total Price

Office Use

         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         

Merchandise Total:

     

Shipping charge (see below):*

     

Subtotal:

     

Washington State residents are now charged sales tax based on your delivery address; if you do not know your sales tax rate please allow us to calculate this for you (approximately 10% of subtotal amount but can vary):

     

TOTAL DUE:

     

*Please contact us with order details (items and address) prior to ordering if you need to know shipping costs in advance. Shipping costs change frequently but are kept as reasonable as possible.

Payment method
Visa   Mastercard Discover American Express Check/Money Order (US funds)
Card number
Expiration date:
3 or 4 digit Security Code from credit card:
Name exactly as it appears on card:

Your Signature __________________________________