Merchandise Sales Receipt/order Form

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Merchandise Sales Receipt/Order Form
Today Date: __________
Completed By: ____________
Item Name:
QTY
Total
Plastic Sign
_____
=
_____
($10.00 for Members)
($15.00 for Non-members)
Vinyl Decal
_____
=
_____
($5.00 for Members)
($10.00 for Non-Members)
Subtotal=
_______
Shipping Costs=
_______
Tax=
_______
TOTAL COST=
___________
Bill/Ship To:
______________________________________
Name
______________________________________
System/Company Name
______________________________________
Address
_____________________________________________________
Town/State/Zip
______________________________________________________
Phone
_______________________________________________________________
Maine Rural Water Association
254 Alexander Reed Rd.
Richmond ME 04357
207-737-4092 Fax: 207-737-7150

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