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ShIP TO:

Name: 

Address:

Phone #

Email:

ITEM#

DESCRIPTION

QTY PRICE TOTAL PRICE
         
         
         
         
         
         
     

Total

 
     

Shipping

 
     

Sales Tax

 
     

Total Order

 

* Sales tax of 5% Maine Residents only          S&H =

Make Check & address out to:  Elizabeth Perez C/o Oziahz 27 Washington Street Lubec Maine 04652

 

 

 

 

 

 

 

 

 

 

 

COPYRIGHT (C) 2005 Oziahz T.M. All Rights Reserved

 

 

 

 

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