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| PEARSON PRODUCTS ORDER FORM | ||||
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| EXTRA-FINE RSXF1 $37.00 |
EXTRA-FINE FSXF1 $32.00 |
EXTRA-FINE DSXF1 $50.00 |
EXTRA-FINE SSXF1 $70.00 |
EXTRA-FINE DTXF1 $32.00 |
| FINE RSF2 $35.00 |
FINE FSF2 $30.00 |
FINE DSF2 $48.00 |
FINE SSF2 $68.00 |
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| MEDIUM RSM3 $35.00 |
MEDIUM FSM3 $30.00 |
MEDIUM DSM3 $48.00 |
MEDIUM SSM3 $68.00 |
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| COARSE RSC4 $35.00 |
COARSE FSC4 $30.00 |
COARSE DSC4 $48.00 |
COARSE SSC4 $68.00 |
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| SHIP TO | |||||
| NAME | |||||
| ADDRESS | |||||
| CITY | STATE | ZIP CODE | |||
| COUNTRY | |||||
| QTY | DESCRIPTION | RIGHT HAND | LEFT HAND | UNIT PRICE | TOTAL |
| SUB-TOTAL | |||||
ADD SHIPPING CHARGE: |
SHIPPING | ||||
| TOTAL | |||||
| SEND CHECK OR MONEY ORDER IN U.S. FUNDS TO: PEARSON PRODUCTS 12404 JANE DR WEWOKA, OK. 74884-6051 |
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