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UrsulaCOOKS.com
BLUE
TOP STEAMER ORDER FORM
16 Cup $9.50
8 Cup $7.50
4 Cup $5.50 (4 cup not available yet)
Shipping is $3.20 for 1 item, $5.00
for 2 items, $6.00 for 3 items. Sent Priority Mail. (Includes Ursula's Recipes)
# ____ of 16 Cup @
$9.50 = $__________
# ____ of 8
Cup @ $7.50
= $__________
# N/A of 4
Cup @ $5.50
= $__________
Georgia Residents 7% Sales
Tax = $_________
Shipping ($3.20, $5.00, or
$6.00) = $___________
TOTAL = $__________
SHIP TO:
NAME __________________________________
ADDRESS _______________________________
_________________________________________
PHONE (H)______________________(O)________________________
(FAX)__________________________ Email_________________________
Payable by:
[ ] Check
[ ] Visa _________________________ exp. date ________
[ ] MasterCard ____________________ exp. date ______
URSULA'S COOKING SCHOOL, INC.
1764 CHESHIRE BRIDGE ROAD, N.E.
ATLANTA GEORGIA 30324
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