| Item | Number | Unit Price | Total |
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| Subtotal | . | ||
| Shipping and Handling
Up to $49.99 -- $4.00 $50.00 - $99.99 -- $8.00 $100 - $199.99 -- $12.00 $200 and up -- $16.00 |
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| Special Instructions: | |||
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Make checks or money orders payable to Kathy Biehl.
Print out this form and mail it along with payment to:
Kathy Biehl
P.O. Box 184
Oak Ridge, NJ 07438