Mouse Connections Order Form

MC  Price  Codes for UM's

AA.... $1.25     A.... $1.50    B.... $1.75    C.... $2.00    D.... $2.25    E.... $2.50    F.... $2.75    G.... $3.00    H.... $3.25    I.... $3.50             J....  $3.75    K.... $4.00       L.... $4.25    M.... $4.50    N.... $5.00    O.... $5.25    P.... $5.50      Q.... $5.75    

* Wood Mounted Prices = UM Price x 2

If you would like us to mount image onto Velcro and us trim add

.25 cents for sizes (AA-F)    .50 cents for sizes (G-M)     .75 cents (N-Q)

Mounted on Sturdy White Foam

.45 cents for sizes (AA-F)    .75 cents for sizes (G-M)     $1.25  cents (N-Q)

Date:                                                                 Invoice #  (ask me for your invoice number)

Product Number

Qty

                Description

Price Each

             Total

 

 

 

  

  

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                            Subtotal

 

   

                        ( Split shipping )                        Shipping & Handling

 

       

                                                          **  TN  Residents Tax   (9.5%)

 

 

                                                                                          Total Due

 

  

                     Customer

 

Mickey Jo & Ralph Corbin

202 Pinehurst Drive

Columbia,  TN  38401

Email: flymouse@earthlink.net

Phone:  (931) 638-1285

 

Name:

 

Address:

 

City/State/Zip

 

Email Addy:

 

Phone Number:

 

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