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Reference# 10-22 |
Shafer Services | ||||||||||||||||||||||||||||||||||||||||||
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Questions?? CONTACT US AT 847-669-3175 | |
CREDIT CARD INFORMATION | |
Name as it appears on the credit card: | |
Credit Card Number: | |
Expiration Date: | Month: Year: CSC: |
SKU | DESCRIPTION | QUANTITY | PRICE | TOTAL |
Shipping: | $8.95 | |||
Customers outside the continental U.S. add $26.95 (US) for shipping: | ||||
Illinois residents add 7.00% sales tax. | ||||
(Make checks payable to: HASYOUR FILTERS INC.) GRANDTOTAL: |
Mail your order to: HASYOURFILTERS 2938 State Route 752 Ashville, OH 43103 |
FAX THIS FORM TO 847-669-3594 |