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We have safe secure on line credit card ordering with this site, or you can print out this order form and mail or fax your order. Order Form Brandon Bait and Tackle Accept Visa, MC and Discover Phone 405 359-3886 Checks & Money Orders Date:________________ Fax 405 605-2697 Name_______________________________________ Street Address_______________________________ City, ST, Zip__________________________________ Phone______________________________________ Qty Item# Description Unit Price Total _____ _______ _________________ _______ ________ _____ _______ _________________ _______ ________ _____ _______ _________________ _______ ________ _____ _______ _________________ _______ ________ _____ _______ _________________ _______ ________ _____ _______ _________________ _______ ________ _____ _______ _________________ _______ ________ _____ _______ _________________ _______ ________ Shipping Standard Delivery Discount _________ Merchandise Total Price Sub Total _________ $0.01- $15.00 $4.00 Sales Tax (OK) _________ $15.01-$40.00 $5.50 Shipping _________ $40.01-$75.00 $7.50 Total _________ $75.01-$100.00 $9.50 $100.01-up $12.50 Please Check Type of Payment _____Personal Check or Money Order Payable To Brandon's Bait & Tackle ___________Visa_______________Master Card____________Discover
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