|
| 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
$ |
| 202 |
_________ |
$1.00 |
$_________ |
| 203 |
_________ |
$3.00 |
$_________ |
| 206 |
_________ |
$4.00 |
$_________ |
| 208 |
_________ |
$1.00 |
$_________ |
| 209 |
_________ |
$1.00 |
$_________ |
| 704 |
_________ |
$2.00 |
$_________ |
| 710 |
_________ |
$2.00 |
$_________ |
| 794 |
_________ |
$3.00 |
$_________ |
| 796 |
_________ |
$3.00 |
$_________ |
| 792 |
_________ |
$5.00 |
$_________ |
| 373 |
_________ |
$7.00 |
$_________ |
| 371 |
_________ |
$3.00 |
$_________ |
| 202 |
_________ |
$1.50 |
$_________ |
| 204 |
_________ |
$3.00 |
$_________ |
| 207 |
_________ |
$3.00 |
$_________ |
| 205 |
_________ |
$2.00 |
$_________ |
| 645 |
_________ |
$2.00 |
$_________ |
| 705 |
_________ |
$2.00 |
$_________ |
| 795 |
_________ |
$4.00 |
$_________ |
| 798 |
_________ |
$3.00 |
$_________ |
| 793 |
_________ |
$4.00 |
$_________ |
| 372 |
_________ |
$5.00 |
$_________ |
| 374 |
_________ |
$5.00 |
$_________ |
| 370 |
_________ |
$4.00 |
$_________ |
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