|
| Please
print this page, fill in the amount of each wax pattern needed, |
| total the
price and mail to Papillon at the address shown
below. |
| Item
# |
How Many |
Price
/ ea. |
Total
$ |
| 221 |
_________ |
$1.00 |
$_________ |
| 222 |
_________ |
$1.00 |
$_________ |
| 223 |
_________ |
$1.00 |
$_________ |
| 227 |
_________ |
$4.00 |
$_________ |
| 229 |
_________ |
$2.00 |
$_________ |
| 231 |
_________ |
$1.00 |
$_________ |
| 369 |
_________ |
$2.00 |
$_________ |
| 361 |
_________ |
$2.00 |
$_________ |
| 359 |
_________ |
$5.00 |
$_________ |
| 368 |
_________ |
$4.00 |
$_________ |
| 853 |
_________ |
$3.00 |
$_________ |
| 860 |
_________ |
$3.00 |
$_________ |
| 824 |
_________ |
$3.00 |
$_________ |
| 859 |
_________ |
$6.00 |
$_________ |
| 269 |
_________ |
$5.00 |
$_________ |
| 271 |
_________ |
$1.00 |
$_________ |
| 273 |
_________ |
$1.50 |
$_________ |
| 275 |
_________ |
$1.50 |
$_________ |
| 277 |
_________ |
$3.00 |
$_________ |
| 279 |
_________ |
$1.00 |
$_________ |
| 224 |
_________ |
$1.00 |
$_________ |
| 225 |
_________ |
$1.00 |
$_________ |
| 226 |
_________ |
$1.50 |
$_________ |
| 228 |
_________ |
$1.50 |
$_________ |
| 230 |
_________ |
$1.00 |
$_________ |
| 232 |
_________ |
$4.00 |
$_________ |
| 356 |
_________ |
$2.00 |
$_________ |
| 360 |
_________ |
$2.00 |
$_________ |
| 355 |
_________ |
$2.00 |
$_________ |
| 827 |
_________ |
$2.00 |
$_________ |
| 848 |
_________ |
$4.00 |
$_________ |
| 849 |
_________ |
$3.00 |
$_________ |
| 862 |
_________ |
$5.00 |
$_________ |
| 268 |
_________ |
$1.00 |
$_________ |
| 270 |
_________ |
$4.00 |
$_________ |
| 272 |
_________ |
$3.00 |
$_________ |
| 274 |
_________ |
$4.00 |
$_________ |
| 276 |
_________ |
$2.00 |
$_________ |
| 278 |
_________ |
$1.00 |
$_________ |
| 280 |
_________ |
$2.50 |
$_________ |
|
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