TAMPICO
ORDER FORM
date ______
TEL 415-702-7272
e-mail WALLY@TAMPICO.US
| PAGE | ITEM # | DESCRIPTION PLEASE PRINT | QTY | PRICE EACH | TOTAL |
| SUBTOTAL | |
| For Calf delivery, add 8.5% Sales Tax | |
| UPS ground Shipping is $7.50 plus $1.00 for each $100. or part thereof for insurance. 1 day & 2 day air shipping is available on request. | |
| TOTAL |
| ORDERED BY: | SHIP TO: | |
| NAME: | ||
| ADDRESS: | ||
| CITY-STATE-ZIP: | ||
| PHONE: |
CREDIT CARD: VISA ___ MasterCard ___ American Express ___ Diners card _____
| ACCOUNT NUMBER: | |
| EXPIRATION DATE: | |
| SIGNATURE: |
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