|
| 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
$ |
| 210 |
_________ |
$1.00 |
$_________ |
| 212 |
_________ |
$2.50 |
$_________ |
| 214 |
_________ |
$1.00 |
$_________ |
| 216 |
_________ |
$1.50 |
$_________ |
| 218 |
_________ |
$2.00 |
$_________ |
| 220 |
_________ |
$2.50 |
$_________ |
| 826 |
_________ |
$6.00 |
$_________ |
| 847 |
_________ |
$3.00 |
$_________ |
| 211 |
_________ |
$2.50 |
$_________ |
| 213 |
_________ |
$2.00 |
$_________ |
| 215 |
_________ |
$1.00 |
$_________ |
| 217 |
_________ |
$8.00 |
$_________ |
| 219 |
_________ |
$2.50 |
$_________ |
| 848 |
_________ |
$3.00 |
$_________ |
| 822 |
_________ |
$3.00 |
$_________ |
| 825 |
_________ |
$3.00 |
$_________ |
| 831 |
_________ |
$2.00 |
$_________ |
| 656 |
_________ |
$1.00 |
$_________ |
| 657 |
_________ |
$1.00 |
$_________ |
| 720 |
_________ |
$1.00 |
$_________ |
| 332 |
_________ |
$1.00 |
$_________ |
| 337 |
_________ |
$1.00 |
$_________ |
| 331 |
_________ |
$3.00 |
$_________ |
| 336 |
_________ |
$3.00 |
$_________ |
| 721 |
_________ |
$2.00 |
$_________ |
| 654 |
_________ |
$2.00 |
$_________ |
| 703 |
_________ |
$2.50 |
$_________ |
| 338 |
_________ |
$3.00 |
$_________ |
| 329 |
_________ |
$1.00 |
$_________ |
| 330 |
_________ |
$4.00 |
$_________ |
| 346 |
_________ |
$4.00 |
$_________ |
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