ORDER FORM

Print out this form for Faxing.
E-Mail or Fax your order to me, and I'll get back to your with your total(including shipping and handling) and where to send your check.
sgrissom8@charter.net

Fax: (775) 782-8812

http://webpages.charter.net/sgrissom8/index.html

Item No.	Bags	Per Package		Cash Price	Order
1	Water Soluble Laundry Bags	5 pcs		$7.75
	Needles
2	Organ: 65/9 Ballpoint	10 pcs	$1.75
3	Organ: 70/10 Ballpoint	10 pcs	$1.75
4	Organ: 75/11 Ballpoint	10 pcs	$1.75
5	Organ: 80/12 Ballpoint	10 pcs	$1.75
6	Organ: 90/14 Ballpoint	10 pcs	$1.75
7	Organ: 65/9 Sharps	10 pcs	$1.75
8	Organ: 70/10 Sharps	10 pcs	$1.75
9	Organ: 75/11 Sharps	10 pcs	$1.75
10	Organ: 80/12 Sharps	10 pcs	$1.75
11	Organ: 90/14 Sharps	10 pcs	$1.75
12	Organ: 75/11 "Teflon" Coated	10 pcs	$4.00
13	Organ: 90/14 "Teflon" Coated	10 pcs	$4.00
14	Organ: 75/11 Large Eye Ball Point	10 pcs	$4.00
15	Organ: 75/11 Large Eye Sharp	10 pcs	$4.00
16	Organ: 90/14 Large Eye Sharp	10 pcs	$4.00

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