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www.bracksco.com
ORDER FORM orders@brac |
Personalized Wine Accessories, VintageView Wine Rac Brac (919) 847-1201, (888) 327-0637 FAX: 919-847-1052 |
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Order Date: |
Date Received at Bracksco: |
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Ordered By: |
Ship To: |
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Telephone: |
Email: |
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Payment: Check MO VISA MC AMEX DISC |
Monthly Email Newsletter? Yes No |
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CC #: Exp Date: CVC # on back: Signature: |
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Item and Style |
Your Personalization |
Price |
Sets |
Total |
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Grape
Variety 4 Coasters
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29.95 |
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Cheers
Champagne 4 Coasters
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29.95 |
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Cheers
Wine 4 Coasters
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29.95 |
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Happily
Heart 4 Coasters
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29.95 |
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Happily
Birds 4 Coasters
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29.95 |
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Fruit
Crate 4 Coasters
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29.95 |
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Tuscan
Wine 4 Coasters
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29.95 |
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Wine
Cask 4 Coasters
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29.95 |
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Villa
Stamp 4 Coasters
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29.95 |
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Spiral
Corkscrew 4 Coasters
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29.95 |
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Crown
Corkscrew 4 Coasters
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29.95 |
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Gold
Seal Grapes 4 Coasters
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29.95 |
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End
of an Era Coasters
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29.95 |
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Left
the Building Coasters
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29.95 |
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SHIPPING: $8.95 first set of coasters to each
address $3.95 additional sets shipped to same
address Tax (merchandise+shipping) required for NC deliveries only (7.75% + special county tax, if applicable) |
Sub-Total |
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Shipping |
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Sub-Total |
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NC Tax |
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TOTAL |
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Prices effective January 2009, subject to change. There are no returns allowed on personalized items except for defects in materials or personalization errors that differ from what appears on this order form. Form updated 12/28/09. |
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