Ordering Form
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Name: ___________________________________________________________
ADDRESS: _______________________________________________________
_________________________________________________________________
CITY: ____________________________________ STATE:________________
ZIP CODE: _______________________________(required)
E-MAIL ADDRESS: _______________________________________ (For confirmation of receipt of your order)
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| QUANTITY | NAME OF ITEM | COLOR | IMPRINT/SIZE | PRICE |
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| _________ | _________________________________ | __________ | ___________ | _________ |
| _________ | _________________________________ | __________ | ___________ | _________ |
| _________ | _________________________________ | __________ | ___________ | _________ |
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| Shipping/Handling: | $4.00 for the first time |
| $1.00 per item for the next 4 items | |
| Larger orders-email us for a quote |
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LockLear LeatherWorks |
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2261 North 5th Street Springfield, Oregon 97477-2202. Tel: (541) 747-6206. Fax: (541) 726-1926 |