| 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 |
Sold to: |
Ship to (if different than
sold to): |
Street address: |
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City, State, Zip |
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Home Phone |
Work Phone _________________________________________ |
E-mail address |
Quantity |
Description |
Unit Price |
Total Price |
Office Use |
Merchandise Total: |
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Shipping charge (see below):* |
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Subtotal: |
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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): |
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TOTAL DUE: |
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*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: |
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Your Signature __________________________________ |
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