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| Item |
Name of Item |
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Quantity |
Unit Price |
Total |
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| SA-00010 |
14-Day Smoke Arrest® Program w/Teeth Whitening System |
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$69.95 |
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| SA-00020 |
30 Day Maintenance Formula |
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$29.95 |
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| Please
make checks payable to: |
|
Merchandise Total |
|
| Smoke
Arrest® |
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|
Shipping/Handling |
|
| P.O.
Box 12635 |
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|
AZ Residents add 7.7% |
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| Scottsdale,
AZ 85267 |
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TOTAL |
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| Shipping/Handling
Costs: |
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| $0.00
- $75.00
$9.95 |
$11.95 |
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| $75.01
- $150.00 $13.95 |
$14.95 |
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| Over
$150.00
$17.95 |
$18.95 |
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| SHIP TO: |
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| Name________________________________________ |
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| Address______________________________________ |
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| City
_________________________ State ___________________ Zip _______ |
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| In case we
need to contact you |
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| Telephone
Number _________________________________ |
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