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If you do not wish to open a Pay Pal account, and prefer to
order by check or money order, please print this order form,
fill in completely and then send with payment to our mailing address.
Please copy and paste Mail Order Form into a text format document
to print.
Print and send as many order sheets as needed.
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Mail Order Form
Mail to:
Lillie's Luxuries
1650 Luther Road
Apex, NC 27523
USA
Check or Money Order payable in USD to: Susan Hamilton
(Name) _______________________________________________________
(Street) ________________________________________(apt/box #)_______
(PO Box) _______________________________________________________
(City) _________________________ (State) _____ (Postal Code) ___________
(Country) ___________________________________________
ITEMS
Description-----------------------------------------------------Qty------------Price
________________________________________ _______ ______________
________________________________________ _______ ______________
________________________________________ _______ ______________
________________________________________ _______ ______________
________________________________________ _______ ______________
________________________________________ _______ ______________
----------------------------------------------------------------------------------- Subtotal______________
------------------------------------------------ NC Residents add 7% sales tax______________
SHIPPING:--------------------------------------------------------------- Shipping______________
($ 1.00 - $ 24.99 = $ 5.95)----------------------------------------------- Total______________
($ 25.00 - $ 49.99 = $ 8.95)
($ 50.00 - $ 99.99 = $11.95)
($100.00 - $199.99 = $15.95)
($200.00 - and up = 9% of total sale)
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