Sold To:
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Ship To:
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Name:_________________________________
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Name:_________________________________
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Address:_______________________________
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Address:_______________________________
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City:__________________________________
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City:__________________________________
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State: _______________Zip:_______________
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State:_______________Zip:_______________
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Country:_______________________________
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Country:_______________________________
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e-mail:_________________________________
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e-mail:_________________________________
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QUANTITY
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ITEM DESCRIPTION
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PRICE
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TOTAL
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PLEASE NOTE: Patterns are intended for the purchaser's personal use only. For use of these patterns in the production of garments for sale contact: COUNTY CLOTH, Inc.
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SUBTOTAL
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ADD 6.00%
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SALES TAX
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With orders up to $49.00, add $6.00; from $50.00 to $149.00, add $9.00; from $150.00 to $249.00, add $12.00; from $250.00 to $400.00, add $15.00; in excess of $400.00, add $18.00.
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SHIPPING & INSURANCE
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BLANKETS REQUIRE SEPARATE SHIPPING!
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TOTAL
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