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Mail Order Form
(Please print this
form and mail to): |
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5445 Comstock Court
Rocklin CA 95677-2205
Phone: (916) 415-1131
FAX: (916) 630-0635
www.chucklegames.com
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Bill to:
Name:_______________________________________
Address:_____________________________________
City:_________________________________________
State:_______________________ZIP:______________
Phone Number ( )___________________________
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Ship to:
Name:_______________________________________
Address:_____________________________________
City:_________________________________________
State:_______________________ZIP:______________
Phone Number ( )___________________________
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Brainstrain Board Game
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Price Each
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QTY
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Total
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_______
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$24.95
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____________
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Sales Tax:
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____________
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TOTAL:
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____________
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Check______Money Order_____ Enclosed.
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Thank you for your order!
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Fabrication Game
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ITEM #
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0101
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0201
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$14.95
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____________
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Shipping:
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____________
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FREE
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For California, please add 7.25% sales tax:
$14.95 = $1.08
$24.95 = $1.81
$39.90 = $2.89
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