Ellistrations Order Form
PRINTABLE ORDER FORM PAGE
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If you do not wish to order by Credit Card just print out this form and fill it out. Then send it with a check or money order to: Ellistrations, 3836 Walhampton Dr. Lexington, KY 40517 (859) 271-9973 mark.ellis@insightbb.com |
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Name:_________________________________________________________________ Address:___________________________________________________________ ____________________________________________________________________
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State:___________________________________Zip Code___________ Country______
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Email Address_____________________________________________________ Home Phone (optional)____________________________________________ Business Phone(optional)____________________________________________ |
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Items Purchasing Item______________________________________________Size_______Price____________ Item______________________________________________Size _______Price____________ Item______________________________________________Size _______Price____________ Item______________________________________________Size _______Price____________ Item______________________________________________Size _______Price____________ Item______________________________________________Size _______Price____________ Item______________________________________________Size _______Price____________ Item______________________________________________Size _______Price____________ _____________________________________________________________Total____________ |
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Please add $5.00 US Dollars for Shipping in the United States and Canada. Foriegn Countries should add $10.00 for shipping by boat or $8.00 for shipping by Air. Please add an additional $1.00 for each additional item for shipping |
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If you do not hear from us or receive your product in 3 weeks, please contact us! |