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101st AIRBORNE DIVISION ASSOCIATION | ||||||||
| PO BOX 929 FORT CAMPBELL, KY 42223 | |||||||||
| PHONE: (931) 431-0199 ext 31 / FAX: (931) 431-0195 | |||||||||
| EMAIL: associationstore@comcast.net | |||||||||
| WEBSITE: www.screamingeagle.org | |||||||||
| HOURS: MON-FRI 8:00 AM - 4:00 PM CST | |||||||||
| STORE ORDER FORM | |||||||||
| SHIP TO: | |||||||||
| PHONE: | DATE: | ||||||||
| ITEM | ITEM # | DESCRIPTION | QTY | COST | TOTAL | ||||
| SUBTOTAL | |||||||||
| SHIPPING | |||||||||
| Kentucky residents ONLY add 6% sales tax | TAX | ||||||||
| TOTAL DUE | |||||||||
| SHIPPING COSTS | CREDIT CARD PAYMENTS | ||||||||
| $1.00 - $5.00 | $2.50 | ||||||||
| $5.01 - $15.00 | $5.00 | VISA | M/C | AMEX | |||||
| $15.01 - $30.00 | $7.00 | ||||||||
| $30.01 - $50.00 | $8.50 | CREDIT CARD #: | |||||||
| $50.01 - $75.00 | $10.00 | ||||||||
| $75.01 - $100.00 | $12.00 | EXPIRATION DATE: | |||||||
| $100.01 & OVER | $15.00 | ||||||||
| SIGNATURE: | |||||||||
| (International orders double) | |||||||||