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Channel Crossings Press - Fax or Mail this form Our fax # (805) 963-9522 or 125 Harbor Way, Suite 21, Santa Barbara, CA 93109 |
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| Name:_________________________________________ | |||||
| Shipping Address:_________________________________________ | |||||
| Mastercard or Visa No.:_____________________________________ | |||||
| Expires:_______________ | |||||
| Item Desc:______________________Mfg#________Price_______Quantity:_____Price Total:___________ | |||||
| Item Desc:______________________Mfg#________Price_______Quantity:_____Price Total:___________ | |||||
| Item Desc:______________________Mfg#________Price_______Quantity:_____Price Total:___________ | |||||
| Item Desc:______________________Mfg#________Price_______Quantity:_____Price Total:___________ | |||||
| Item Desc:______________________Mfg#________Price_______Quantity:_____Price Total:___________ | |||||
| California residents add 7.75% sales tax. Total:____________________ | |||||
| Contact Info:_____________________________________________________ | |||||
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We will confirm the total before we send the order. Thank You. Our contact info: tel. (805) 963-3949, charts@channelcrossings.com |