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UNIQUE MULTIPLE GIFTS |
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7381 La Tijera Blvd. |
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PO Box 45528 |
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Los Angeles, CA 90045 |
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(310) 641-3183 |
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INSTRUCTIONS |
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Please type or print clearly the item number, quantity and description of the item(s) you |
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are purchasing. Please include shipping charge (see chart) and sales tax (if applicable). |
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Enclose your payment by check, money order or certified check payable to |
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Unique Multiple Gifts. View Printable Version |
| Unique Multiple Gifts | ORDER FORM |
| www.uniquemultiplegifts.com | |
| Gifts for All Occasions | |
| 7381 La Tijera Blvd. | |
| PO Box 45528 | |
| Los Angeles, CA 90045 | |
| (310) 641-3183 | |
| Email: customerserviceinfo@uniquemultiplegifts.com |
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Bill To: |
Ship To: |
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[Name] |
[Name] |
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[Street Address] |
[Street Address] |
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[Address 2] |
[Address 2] |
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[City, ST Zip Code] |
[City, ST Zip Code] |
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[Phone Number] ( ) |
[Phone Number] ( ) |
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| Item# | Qty | Description | Color/Size | Price | Total |
| Shipping Charges | |||||
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Up to $24.99 |
$7.50 |
Subtotal |
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$25 to $34.99 |
$8.45 |
Sales Tax (if applicable)* |
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$35 to $44.99 |
$9.45 |
Subtotal |
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$45 to $50.00 |
$10.45 |
Shipping |
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$50 and above |
No charge |
Total |
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*California residents only. |
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| Make all checks payable to: Unique Multiple Gifts | |||
| Paid by: (Please check one) | |||
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Personal Check |
Money Order |
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Certified Check |
Visa, M/C, Amex, Discover (Please circle card type) |
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| Credit Card#_________________________________ Expiration _____________ | |||
| Name as appears on card: ____________________________________________ | |||
| Signature: ________________________________________________ | |||
| Thank you for your business! | |||