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MAIL ORDER FORM FOR CHECKS OR CREDIT CARDS
PLEASE MAKE CHECKS PAYABLE TO: MAGNUM PLASTICS, INC.
MAIL FORM TO: MAGNUM PLASTICS, INC., PO BOX 1830, GREENWOOD LAKE, NY 10925
Card#____________________________ Exp. (MM/YY)________
STANDARD SIZE SILL SHIELDS:
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Quantity |
Color
(Clear or White) |
Depth
(2.25", 3.25", or 4.25") |
Width
(23.5", 29.5", or 35.5")
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TOTAL # OF STANDARD SIZE SHIELDS = _______ x $12.99 = _____________ |
CUSTOM WIDTH SILL SHIELDS:
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Quantity |
Color
(Clear or White) |
Depth
(2.25", 3.25", or 4.25") |
Width
(MUST BE LESS THAN 35.5")
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TOTAL # OF CUSTOM WIDTH SHIELDS = _______ x $13.99 = ______________ |
CUSTOM DEPTH SILL SHIELDS:
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Quantity |
Color
(Clear or White) |
Depth
(MUST BE LESS THAN 5.25") |
Width
(23.5", 29.5", or 35.5")
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TOTAL # OF CUSTOM DEPTH SHIELDS = _______ x $14.99 = ______________ |
CUSTOM WITH AND DEPTH SILL SHIELDS:
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Quantity |
Color
(Clear or White) |
Depth
(MUST BE LESS THAN 5.25") |
Width
(MUST BE LESS THAN 35.5")
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TOTAL # OF CUSTOM DEPTH SHIELDS = _______ x $15.99 = ______________ |
DOOR SHIELDS:
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TOTAL # OF CLEAR DOOR SHIELDS = _________ x $24.95 = ______________ |
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TOTAL # OF WHITE DOOR SHIELDS = __________ x $15.95 = ______________ |
DECALS:
$3.00 each (shipping is included for this product).
TOTAL # OF DECALS = __________ x $3.00 = _____________
REFLECTOR COINS:
$5.99 per three pack (shipping is included for this product).
TOTAL # OF REFLECTOR COINS (3/PK) = __________ x $5.99 = _____________
SUBTOTAL = ______________
SALES TAX (New York ONLY) = SUBTOTAL x TAX RATE = _______________
GRAND TOTAL = _______________
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SHIPPING INFO |
BILLING INFO (if different) |
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Name:
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Name:
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Address:
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Address:
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City/State/Zip:
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City/State/Zip:
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Shopping Cart - 0 item(s) / Total: $0.00
