Mail-in Order Form
Print & fill out form and mail with check or money order.
Please make checks or money orders payable to Jacob's Reward
Send form to: |
Customer Shipping Address Date Rec'd:______ |
| Jacob's Reward
P. O. Box 861824 Plano, TX 75086-1824 |
Your Name: ______________________________________________ Address: ________________________________________________ City___________________, State_______ Zip _______ (country)______ |
Contact: (phone or email )____________________________________(important)
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Item No./Description |
Price Ea. |
Total Price |
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Subtotal |
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Domestic Shipping (from table below) |
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Tax (Texas residents only) 8.25% |
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Total amount included |
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| Value of Order | 0-$9.99 | $10.00-49.99 | $50.00-99.99 | $100.00 - 199.99 | $200.00 and over |
| Shipping Cost | $4.00 | $6.00 | $8.00 | $9.00 | $10.00 |