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To order via mail, please print out this page or a reasonable facsimile and send the completed form along with check or money order to:
Brockingtons Catalog Company, 3572 - 23rd Street, Detroit Michigan, 48208 USA |
[Click to Print Order Form]
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Brockingtons Catalog Company Mail Order Form:
Name: _______________________________________________________________
Address: _____________________________________________________________
_________________________________________ Apt/Suite/Unit#:____________
City: __________________________ State/Prov/Region:____________________
Zip/Postal Code: _________________
Email Address: ____________________________________________
Phone (include Country code, Area code): ______________________________
Fax (include Country code, Area code): __________________________________
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100% Money Back Guarantee!
Use the 'Discounts' box to take $5 off every Brockingtons product when you order by mail! |
Discounts
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Subtotal
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MI
residents add 6% sales tax
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US Shipping
- USPS Ground
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FREE! |
Canadian Shipping, add $12.00
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International Shipping, add $35.00
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Total
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All prices, including shipping and taxes, in US dollars. Orders are sent as soon as payment is processed.
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