PRINTABLE ORDER FORM
Please print this page, and mail your order to:

  DICK HERING
  424 WENDOVER LN.
  WILMINGTON,NC 28411
  1-910-686-4711

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   I would like to order the following Items:

    Item No.    Qty.  Description               U/Price   Total Price
   __________   ___   ________________________  $______   $__________
   __________   ___   ________________________  $______   $__________
   __________   ___   ________________________  $______   $__________
   __________   ___   ________________________  $______   $__________
   __________   ___   ________________________  $______   $__________
   __________   ___   ________________________  $______   $__________
   __________   ___   ________________________  $______   $__________
   __________   ___   ________________________  $______   $__________
   __________   ___   ________________________  $______   $__________
   __________   ___   ________________________  $______   $__________

                                  Shipping Charges        $__________

                                  NOTE: When calculating your shipping costs remember to subtract any free postage items.
FREE POSTAGE ITEM(s) $0.00 $19.99 and under $3.95 $20.00 to $39.99 = $5.00 $40.00 to $59.99 = $7.00 $60.00 to $79.99 = $8.00 $80.00 and up = $10.00 North Carolina Residents 6 1/2% Sales Tax $__________ Order Total $========== PLEASE SHIP THIS ORDER TO: (Shipping address exactly as it should appear on the address label.) _____________________________ _____________________________ _____________________________ _____________________________ Date of order: _____________________________ Phone: _____________________________ Email address: _____________________________ Thank you for your order