The Squirrel Lover's Club
318 W. Fremont Ave.
Elmhurst, IL 60126.
There will be a $30 charge for all returned checks.
Name of Item Quantity Size Price Total Price ____________________________ ______ ______ ______ _______ ____________________________ ______ ______ ______ _______ ____________________________ ______ ______ ______ _______ ____________________________ ______ ______ ______ _______ ____________________________ ______ ______ ______ _______ Merchandise Total _______________ Shipping and Handling (Do not include Illinois Corn) _______________ Subtotal _______________ Illinois Residents add 7½% sales tax _______________
Sales tax MUST be figured on the subtotal
Total _______________
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___VISA ___MC ___Check
(Make checks payable to: Squirrelly Productions)
Credit Card Number____________________________
Exp. Date_________________ Signature_________________________
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SHIP TO:
Name____________________________ Phone No. (___) ________________(Req)
Address__________________________ Email______________________
City___________________ State_____ Zip______
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