Gymnastics |

445C East Cheyenne Mountain Blvd. #334 Colorado Springs, CO 80906 800-778-8577 FAX: 719-576-2790 http://www.gymclip.com/access.htm E-Mail: info@gymclip.com |
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| Item # | Description | Color/ Size | Qty | Unit Cost | Amount | |
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| Add Up The Merchandise Total | Merchan- dise Total |
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| CO Residents Only: Add 7.4% (El Paso County) or 2.9% (Rest of State) Sales Tax |
2.9% or 7.4% Sales Tax | |||||
| Add 10% ($4.60 Minimum) or Specified Freight Amount Please Call For Overseas or Air Freight Quotations |
Freight | |||||
| Enter The Total Order Amount: |
Total Amount | |||||
Name _______________________________________________________ Address ____________________________________________________ City ____________________________ State ______ Zip ___________ Phone # ______________________ Fax # ________________________ Payment By: Check American Express Discover MasterCard Visa Name On Credit Card ___________________________ 3 or 4 Digit Security Code (On Back) _____ Card # | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | Expiration Date ____/____ I Hereby Certify That I Am Authorized To Charge Purchases To The Credit Card Listed Above: Signature _____________________________ Date ___________________ | ||||||
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E-mail: info@gymclip.com
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