36453 Bohlken Dr.
Lebanon, OR 97355
1-541-451-6776
 
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ADDRESS: ______________________________________________

CITY: __________________________  STATE: ________________

ZIP CODE: ____________  PHONE: (         ) _______________

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QUANTITY
ITEM DESCRIPTION
PRICE EA.
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Sub-total
  
 
Shipping
  
TOTAL    
VISA®          Mastercard®         Check or Money Order
       Card #: ____________________________________
Exp: ____ / ____
CVV: _______
  
Name (as it appears on card): ____________________________________________________
* Flat $5.95 shipping rate within the continental United States. All other orders pay actual shipping charges. No handling fee.
 
www.whims.cc
HOURS: 9 am to 4 pm PDT, Tue. - Thurs.
PHONE: 1-541-451-6776         FAX: 1-541-259-5926
THANK YOU FOR YOUR ORDER!