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World Net Enterprises, Inc. |
DATE:_______________________
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Name: |
Name: |
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Billing Address: |
Ship To Address (If Different): |
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Email Address: |
Phone Number: |
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QUANTITY |
MODEL NUMBER AND DESCRIPTION | UNIT PRICE | AMOUNT |
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SUBTOTAL |
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TENNESSEE RESIDENTS MUST INCLUDE SALES TAX (7.50%) |
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THERE IS A $5.95 SHIPPING & HANDLING CHARGE. ORDERS SHIP UPS GROUND WITHIN 24 HOURS. |
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TOTAL DUE |
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Name on Credit Card__________________________ Check, Money Order, or Credit Card.
Credit Card Type_____________________________ VISA, MasterCard, Discover, Amex
Card Number___________________________Authorization Code_______
Expiration Date______________________________ THANK YOU FOR YOUR BUSINESS!
Signature___________________________________