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ORDER FORM For Mail Orders, please print, complete, and send with check or money order to: Poppert's Gunsmithing P.O. Box 413 Glenside, PA 19038. For Fax Orders (Visa or Mastercard only), Please Print, complete, then Fax to (215) 887-5816 |
Ship To: ______________________________________________ ______________________________________________ ______________________________________________ Phone:_____________________P.O._______________ |
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Circle One: Visa / MC Credit Card #__________________________________________________Exp Date ___________ |
| QTY. | PART NO. | DESCRIPTION | UNIT PRICE | TOTAL |
| Subtotal ( $10.00 Min) | ||||
| PA. Residents 6% Sales Tax | ||||
| Shipping ( $4.00 Min ) | ||||
| Less Credit | ||||
| Total ( $13.00 Min ) |
| Thank You for your business ! |