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Queen Lace Crystal Corp. |
Telephone: 800-985-7575 Wholesale Inquiries Welcome |
Customer Information |
Address:_____________________________________________________________ City:________________________________________________________________ State: ______________________ Zip:____________________ Phone:_____________________ FAX:____________________ e-mail:__________________________ |
Billing Information (If different from Customer Information above.) |
Name:________________________________________________________________ Address:______________________________________________________________ City:_________________________________________________________________ State: ______________________ Zip:____________________ Phone:_____________________ FAX:____________________ e-mail:__________________________ |
| Description | Item No. | Price | Quantity | Total |
| Total for Merchandise $ | |
Estimated Shipping and Handling on Merchandise Total $ |
15.00 per carton |
| Sales tax (will be determined later) $ | |
| Total amount $ |
Thank you for your order. A customer service representative will be contacting you shortly.
