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Thomas Manufacturing
RT. 1 BOX 211-A
New Hebron, MS  39140
601-792-5206
800-733-7909		 SHIP TO:
NAME:        __________________________________
ADDRESS:  __________________________________
CITY:          __________________________________
STATE:       __________________________________
ZIP:             __________________________________
PHONE:      __________________________________
QTY. MODEL # SIZE COLOR DESCRIPTION OF ITEM PRICE
EACH		 TOTAL PRICE
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SHIPPING & HANDLING CHART
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UNDER $25.00               ADD $4.00
$25.01 TO $50.00            ADD $5.00
$50.01 TO $100.00          ADD $6.00
OVER $100                     ADD $7.00
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CHECK METHOD OF PAYMENT
CHECK: _________

SUB TOTAL
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MISSISSIPPI RESIDENTS
ADD 7% SALES TAX
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POSTAGE & HANDLING
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C.O.D. FEE
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TOTAL AMOUNT

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