2125 Franklin Ave
East Meadow, New York 11554
United States
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2125 Franklin Ave |
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will see our Order Form Please print and fill out the order form below and send it with your Check or Money Order. Name/Company_____________________________________ Address___________________________________ City/State__________________________________ Zip________ Email address______________________________ Phone Number__(____)_______________(____)______________ Card #_______________________________________________ Address Of Credit Card_________________________________ Item#_______ Qty___ Description__________________________________ $______ Item#_______ Qty___ Description__________________________________ $______ Item#_______ Qty___ Description__________________________________ $______ Item#_______ Qty___ Description__________________________________ $______ Item#_______ Qty___ Description__________________________________ $______ Item#_______ Qty___ Description__________________________________ $______ Item#_______ Qty___ Description__________________________________ $______ Sub $___________ N.Y Residents add 8.50% Tax $______ Shipping&Handeling 
$0.01 - 9.99 $ 5.00 $10.00 - 49.99 $ 7.00 $50.00 - 99.99 $ 9.00 $100.00 - 199.99 $ 12.00 $200.00 and over $ 14.00 total_____________ |