moneymakersflags.com Order Form
Customer Information:
Customer Name:
Address:
City:
State:
Country:
Zip Code:
Telephone:
Fax:
E-mail:
Product Order Form:
QTY
SZ
PRODUCT DESCRIPTION
TYPE
PRICE EA.
TOTAL*
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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$
Special Instructions:
* Add 8.25%(.0825) Tax on Texas Orders
Shipping & handling cost in Continental US
Flags
$30.00 or Less
$8.75
$30.01-60.00
$10.75
$60.01-90.00
$12.75
Over $90.00
$15.00
Telesc. Poles $24.50 /ea.
Payment Options
Pay by Credit Card
Cardholder's Name:
Card:
MasterCard
Visa
American Express
Discover
Card Number:
Expiration Date:
January
February
March
April
May
June
July
August
September
October
November
December
2008
2009
2010
2011
2012
2013
Last 4 Digits on back of card:
Prepay by Money Order
Prepay by Check
(Please allow 4 weeks for delivery)
Please send the total amount to:
Money Makers Distributing
1517 Blalock
Houston, Tx 77080-7318
Thank You For Your Order!
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