| Gramur Supply Co., LLC
611 Smith Terrace Bedford, TX 76021 Phone: (817) 688-1996 |
CUSTOMER P.O# Ship To:
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Address Area Code Phone No.
City State/County Zip Code E-Mail Address
ORDER FORM
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Part #
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Description of Item (s)
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Unit Price
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Total
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Sub-Total
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TX Residents add 8.25% Sales Tax
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Packaging / Handling Charge
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Shipping Charges
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TOTAL
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Comments or Questions:
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Card Type: Master Card ( ) Visa ( ) Discover ( )
Card Number: __________________________________________________Expiration Date: ________________
Name as it appears on the Card:_______________________________
Full Address as billed for the card: _______________________________________
_________________________________________________________
We're available for your phone calls, or on the Internet at: www.gramur.com Customer is responsible for all shipping charges. We will combine multiple item orders, whenever possible, to reduce shipping costs. Methods of Payment Returns
If you desire to pay by credit card, or PayPal, please go to www.gramur.com