Bothfull Inc--Mail Order Form
http://store.myonlystore.com
To place a mail order: please print out this form and then fill it out clearly.
Last Name: _____________________ First Name: ___________________________
Address (line 1): ___________________________________________________________
Address (line 2): ________________________________________________________
City: _____________________________ State: __________ Zip Code: ________________
Your contact phone #'s (in case we have questions about your order):
Home ( ) Work ( )
If you would like to receive our future promotions, please provide your Email Address: _____________________________
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Merchandise Total: |
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CA residents please add 9.75% sales tax: |
$ |
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Total Due: |
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Please make check payable to: Bothfull Inc. And send your payment with this order form to:
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Bothfull Inc |