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Sales Tax 9.00% (CA residents) |
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** The shipping rate shown on above order form is only for estimated ground shipping service. The shipping charge will be manually adjusted for each order. |
Full Name (As it appears on credit card) |
Street Address (As it appears on your credit card statement) |
Phone ( ) E-mail: |
[ ] Money Order (No COD) [ ] Discover [ ] Visa [ ] Master Card |
Fax Orders to: (562) 404-0181 Mail Orders to: FashionWholesaler.com Santa Fe Springs, CA 90670 |
Credit Card # | Exp. Date |
Issue Number(CVV code)# | |
Signature: |