Gazebo Screens
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| Name | Name | ||||||
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| City/St/Zip | City/St/Zip | ||||||
| Daytime Ph # | Daytime Ph # | ||||||
| Screen Size |
Qty |
Description |
Unit Cost |
Total |
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Screen
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Screen
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Screen
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Screen
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Screen
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| & | |||||||
Subtotal: |
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Shipping is
$12.50 per order of cut screen or Screen attachment devices |
Shipping: |
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Total: |
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| Please make check payable to Gazebo Screens | |||||||
Gazebo Screens
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55648 Silver Creek Lane
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Macomb Twp, Mi 48042
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| FORM 103 rev Dec 03 | |||||||