KC
Providers Company
Order Form
Sold To: Ship To:
Name: ______________________________ Name: ___________________________________
Address: ____________________________ Address: _________________________________
City: _______________________________ City: ____________________________________
State: _____________Zip Code: _________ State: _______________Zip Code: ____________
Country: ____________________________ Country: _________________________________
Daytime Phone: (_____)________________ Daytime Phone: (______)____________________
Email: ______________________________
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Description of Item |
Cost Per Item |
Total Cost |
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Please send completed form and check or money order to: KC Providers
Company P.O.Box 86 |
Subtotal |
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Tax 7.375% |
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Shipping (See Chart on Web ) |
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Total |
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Please make all check or money order payable to: KC Providers Company
All checks or money orders must clear before any items are sent. Delivery takes approxmently 7 to 10 days
Depending where shipped.
Check One of the shipping options
____ Gound Shipped _____ Priority Mail Shipped _____ International Shipped
Thank You for Shopping At: kctoycollectables.com