| NearNorthArt.com Order Form 518-647-8614 |
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| _QTY_ | ____Description of Item____ | Price Per | _Total_ |
| _______ | __________________________________ | _________ | __________ |
| _______ | __________________________________ | _________ | __________ |
| _______ | __________________________________ | _________ | __________ |
| _______ | __________________________________ | _________ | __________ |
| _______ | __________________________________ | _________ | __________ |
| _______ | __________________________________ | _________ | __________ |
| _______ | __________________________________ | _________ | __________ |
| _______ | __________________________________ | _________ | __________ |
| _______ | __________________________________ | _________ | __________ |
| _______ | __________________________________ | _________ | __________ |
| Sub Total | __________ | ||
| Shipping and Handling | __________ | ||
| NY State 7.75% Sales Tax if Applicable | __________ | ||
| Grand Total | __________ | ||
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Please make your check payable to Mail your Order to |
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