MedExcel, Incorporated

Innovation in Design....Excellence in Function

5309 Cuesta Verde

Austin, Texas 78746

512.560.5709

FAX  512.328.7324

 

Order Form:

 

 

DATE:______ /______ / ______

 

To: Ship To:

 

Product / Description

Quantity #Units

Extended Price

PowerPaw PGA special @ 19.95

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SHIPPING & HANDLING

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SALES TAX  

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TOTAL DUE

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[Shipping & Handling:  $5.95 = 1- 2 units,  $10.00 for 3-4, 5 or more = 12.5% of total of order]

Make all checks payable to: MedExcel Inc.

If you have any questions concerning this billing/invoice, call: 512-560-5709

* Other than PayPal, E-Commerce not available yet, but you may print out this form and fax to: (512) 328 - 7324

 

 

THANK YOU FOR YOUR BUSINESS!

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