Email Order Form
Fill out and hit submit button at bottom
Please Enter Email Address For Shipment Confirmation
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Ship To:
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Bill To: (if different)
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name:
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name:
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business name
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business name
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address 1
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address 1
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address 2
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address 2
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city
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city
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zipcode
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State
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State
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zipcode
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telephone
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email address
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Length of Cord Ordered
Number of Cords Ordered
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Total price including shipping. Please
note: you can mix and match colors in any one
length to reach your total ordered. Colors
available are white, black, gray and brown.
Mastercard, Visa, American Express and
Discover accepted
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Enter the number of cords for each
color for a specific length
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Number of Cords
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Elastic Cord Color
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credit card type
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Comments:
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credit card number
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credit card expiration date mm/yy
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Length->
Quantity
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25"
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32"
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37"
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42"
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10
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$9.65
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$11.25
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$12.80
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$13.85
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20
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$14.70
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$17.25
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$19.60
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$21.45
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50
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$27.20
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$32.80
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$37.40
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$41.10
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