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     Spirit Enterprises   
8516 Langdon Avenue • North Hills, California 91343-5817
Phone: (818) 830-0724          Fax: ( 818) 895-8017

Billing Address of Charge Card
__________________________________________
Name
__________________________________________
Address
__________________________________________
City/State/Zip
__________________________________________
Phone Number

Shipping Address (if different) _________________________________________
Name
__________________________________________
Address
__________________________________________
City/State/Zip
__________________________________________
Phone Number
Qty. Code/Description Unit Total
            
              
       
       
       
       
    

 

  
____ WILL CALL                      Add Postage & Handling (see Table below)  
Total Order   
                                California residents add CA State Tax 9.75%      
                                                                  Total Amount Payable  
Postage & Handling
Total Order Add
Under $10 $3.50
$10 - $19.99 $4.00
$20 - $29.99 $4.50
$30 - $49.99 $5.00
$50 - $99.99 $6.00
$100 & Over 6%
Payment by:
o Cash     o Check # ___________
o Please bill my
    o Visa   o Mastercard   o American Express   o Discover

  Card Number_____________________________ 
    Expiration Date _____/_____   CVV _____________
   
  Signature ________________________________
For office use - Order:  Date Rcvd ___________________   Date Shipped ________________