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Order Form
Print out this page, fill in the information, and send it
(along with your payment) to:
Western New York Wares Inc.
P.O. Box 733 - Ellicott Station
Buffalo, NY 14205
__________________________________________________________________________
| Quantity | Item Description | Unit Price | Total Price |
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|__________|__________________________________|____________|_____________|
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Shipping Charges: Subtotal |_____________|
Orders under $25= $4.00 | |
$25 - $49.99= $5.00 NY Residents add 8.75% sales tax |_____________|
$50 - $74.99= $6.00 | |
$75 - $99.99= $7.00 Shipping |_____________|
Orders over $100= $8.00 | |
Final Total |_____________|
(Select one) __ Check __ Money Order
Ship to: Name:___________________________________________________________
Street Address:__________________________________________________________
City:__________________________________ State:_______ Zip:______________
Email address:_________________________ Phone Number:____________________
© 2007 Western New York Wares Inc.