ORDER FORM |
Please Email This Form To: |
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starchicago869e@gmail.com |
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Required Shipping Date: |
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New Account |
Existing Account |
Bill to: (Credit Card Billing Address) |
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Ship To: (If Different From Bill To) |
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Attention |
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Attention |
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Company Name |
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Company Name |
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Address |
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Address |
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City
State Zip |
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City
State Zip |
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Phone (
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Fax (
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Phone (
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Fax (
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Code No. |
Description |
Unit |
Unit Price |
QTY |
Amount (US$) |
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Freight (Estimated)
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Sub Total |
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Domestic Shipping (Est.): 12% of Total Sales |
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(Minimum US$100) |
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International Shipping: Please Contact Us |
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Estimated Shipping |
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Total Amount |
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Payment
By Credit Card |
By Check |
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Visa |
MasterCard |
American Express |
Make
Check Payable & Mail To: |
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Card Number
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Star
International Import & Export Inc. |
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Expiration Date |
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Security Code |
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Card Holder Name (Print) |
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Card Holder Signature |
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The United State Of |
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Any questions, please contact us at 1
(678) 889-4422.