Fax Order Form / Worksheet
Fast Free Local Delivery ... Home or Office !!
Phone: (502) 459-2056 ...... Fax: (502) 473-1168
Email ... Bulbshipper@yahoo.com
Item Description
Quantity
Unit Cost
Total
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x
x
x
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=
=
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6% Sales Tax
=
= $
Total
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Express-Light Delivery Service
1721 Lincoln Ave.
Louisville, KY 40213
Customer Name:
Credit Card # ___________________________
Expiration Date: ______________
Name as it appears on card : ___________________________
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Phone #
We accept Exact Cash, Checks, and Credit Cards !!
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Email :
Questions ??
Please Call Us !!
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Best Time to call :
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x
x
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Address:
City,
State
Zip
(Change Your Printer Setting to "Landscape")
Hours: M-F 8am - 6pm
Sat 10am - 2pm
FAX or email - 24/7/365
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