OJ HANSSEN
OFFICIAL MERCHANDISE
ORDER BLANK
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OJ HANSSEN |
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Print and mail this page with check or money order made payable to:
OJ HANSSEN MUSIC
P.O. Box 432
Thorsby, Alabama 35171
| QUANTITY | ITEM NUMBER | ITEM DESCRIPTION | UNIT COST | TOTAL COST |
| SUB-TOTAL | ||||
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SHIPPING & HANDLING (See Table ) |
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| TOTAL AMOUNT DUE | ||||
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Shipping Charges |
Shipping Information |
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If your subtotal is |
Shipping |
Shipping outside US |
Name | ______________________________________ | |
| $0 - $20.00 | $5.00 | $5.00 | Address | ______________________________________ | |
| $20.01 -$50.00 | $7.00 | $12.00 | City | ______________________________________ | |
| $50.01 - $100.00 | $11.00 | $18.00 | State | ______________________________________ | |
| over $100.00 | $14.00 | $24.00 | Zip | ______________________________________ | |
| Country | ______________________________________ | ||||