SORODZ
ORDER FORM
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Item #

Description

Price

     
     
     
     
     
     
     
CA residents add 8 % sales tax

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U.S. Shipping: 1-3 items $8, 4 or more items $12
Contact Sorodz regarding costs for shipping outside the U.S.

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                               TOTAL

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Special Instructions

 
 
 
 
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Ship to__________________________________________________
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               __________________________________________________
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               __________________________________________________

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Check or money order payable to Sorodz is enclosed.


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Charge my Visa/MC/Amex/Disc

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Exp. 
Date_________

Authorized Signature

 ____________________________________________

Date___________

Phone______-________-________             E-mail ________________________  

Sorodz   P.O. Box 10692  Oakland CA 94610   510-482-8252