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| Ordered By | Ship To (if other than ordered by) |
|---|---|
| Name: | Name: |
| Address (No P.O. Boxes please) |
Address (No P.O. Boxes please) |
| City: State: Zip: |
City: State: Zip: |
| Phone: | Phone: |
| Customer Number (if known): | Customer Number (if known): |
| Order Code | Product Description | Quantity | Price Each | Total |
|---|---|---|---|---|
| Subtotal | 6 0 0 0 127.5 0 |
|---|---|
| TAX -California Residents Only - add in 7.25% | |
| Shipping Charges - see below | |
| Total Enclosed |
Barclay Labs
4780 Caterpiller Road, Unit A
Redding, CA 96003
(530) 244-4460
Open Mon - Thurs, 9 - 4 PST
Toll Free Order Line: (800) 845-4460
Fax: (530) 244-2924
E-Mail: payment8@massage-oil.com