-
PLEASE
PRINT
AND
MAIL
TO:
-
TJ
Riley
Promotions
-
725
East
Emmett
Street·Battle
Creek,
MI
49014
-
Phone
or
Fax
(269)
964-8545
or
Toll
Free
(866)
TJRILEY
857-4539
-
-
-
Name:
_____________________________________________________________________________________________
-
-
Street
Address
_______________________________________________________________________________________
-
-
City/State/Zip
_______________________________________________________________________________________
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-
Phone
Number
w/Area
Code
_____________________________
Best
Time
to
Call
If
Necessary
_________________
-
(Please
print
clearly)
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Description |
Color |
Size |
QTY |
Price |
Total |
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Order
Total |
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Michigan
Residents
add
6%
Sales
Tax |
|
|
Shipping
and
Handling
(see
chart
below) |
|
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Total
Amount
Due: |
|
-
Shipping
Charges
-
In
the
Continental
U.S.A.
ORDER
TOTAL
AMOUNT
-
$
1-$
25
$
4.00
-
$
26-$
50
$
7.75
$
51-$100
$
8.75
$101-$200
$
9.75
$201-$300
$12.75
$301-$400
$13.75
$401-$500
$14.75
$501
&
over
3%
of
-
cost
-
___Check
or
Money
Order
___
Mastercard
____ Visa
____
American
Express
___ Discover
Credit
Card
Number:
____________________________
Exp
Date:
___________
Signature
__________________________________________
Make
checks
or
money
orders
to
TJ
Riley
Promotions
For
questions
on
size
availability
contact
Della
@
269
964-8545
|