| Name: |
Phone: |
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Fax: |
| Address: |
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State: |
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Country: |
| Credit Card Number: |
| Expiration: |
Name on Card: |
If you prefer, send check or money
order to:
Kitchensimple, 95 Tinker St., Woodstock, NY 12498,
USA |
| Itm # |
Description |
Size |
Color |
Qty |
Price |
Extended Price |
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| Shipping Rates - UPS
Ground |
| Subtotal |
Shipping |
| Up to $15.00 |
$5.00 |
| $15.01 - 30.00 |
$7.50 |
| $30.01 - 45.00 |
$9.50 |
| $45.01 - 60.00 |
$11.50 |
| $60.01 - 85.00 |
$13.00 |
| $85.01 - 135.00 |
$14.50 |
| Over $135.00 |
11% of
Subtotal |
|
Subtotal: |
|
| Shipping: |
|
| *Item Freight: |
|
| Total: |
|
| NY
state residents only: |
| 8 %
Tax |
|
| Final Total: |
|
| 2nd Day
Air: add $20 Next Day Air: add
$30 Int'l: Call for Quote |
| * Freight charges listed within an item
description take the place of regular UPS Ground shipping charges for that
item. |
| Shipping Address - (If Different
from Above) |
| Name: |
Phone: |
| Address: |
| City: |
State: |
| Zip: |
Country: |
|
