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INCLUDE CHECK WITH ORDER FORM AND MAIL TO
ADDRESS SHOWN
PURCHASE ORDER
Diana D's Blankets of
"Your Request is Our Specialty"
Date: _________________________
10920 Paso
Reference # _____________
Tel: (818) 831-6020, Alt. :(818) 674-8691
Fax: (818) 831-6020 (PLEASE CALL FIRST)
[Name]
___________________________________________________
[Company Name]
___________________________________________________
[Street Address]
___________________________________________________
[City, ST ZIP Code]
___________________________________________________
[Phone]
_____________________________
PLEASE SPECIFY BREED OF HORSE: ___________________________________
QTY
DESCRIPTION
MATERIAL
COLOR
UNIT PRICE
LINE TOTAL
SHIPPING AND HANDLING PRICES
SUBTOTAL
$00.01 to $25.00 »»» add $5.95
S&H
$25.01 to $50.00 »»» add $7.95
TOTAL
$50.01 to $75.00 »»» add $9.95
$75.01 to $100.00 »»» add $12.95
$100.01 to $150 »»» add $14.95
Authorized by
Date
$150.01 to $200 »»» add $16.95
Additional Comments:
$200.01 to $300 »»» add $18.95
$300.01 to $500 »»» add $19.95
Over $500.01 »»» add $20.95