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Form - Print Form, fill out and m
Mail-In Order Form
fax in.
Fill out order form and mail order to:
Allied Services
"PROcutlery"
8974 Route 32 ~ Freehold, NY
12431
OR Fax order in to: 518-634-2573
Method of Payment:
Check___ Make
checks payable to: Allied Services
Money Order___ Credit Card ____
Type of Credit Card:______ Credit Card# __ __ __
__ - __ __ __ __ - __ __ __ __ - __ __ __ __ Exp Date: Month
___ Year___
Signature: ____________________________________________
Name & address
of Credit Card Holder if different from Ship to
Address
Ship To:
Name:_____________________________
Bill To: Name: _____________________________
Street:
___________________________________ Street:
___________________________________
City,
State, Zip:______________________________
City, State, Zip:
___________________________
Phone: (
) _____-________
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| Sub
Total |
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| Shipping |
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| NYS
8.25% |
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| Total |
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