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This order is for what school, club or company:
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Name
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Address:
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ST
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ZIP
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City:
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EMail
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Phone:
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Alt. Phone:
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Item Description and Number ( if any)
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SIZE
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QTY.
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COLOR
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LOGO#.
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Custom Name / # if offered
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EA
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TOTAL
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Notes/Comments
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ORDER
TOTAL:
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Orders can be picked up at Boomer T's in Naperville. If
you want it shipped, please specify below. We will add
the shipping cost to your order.
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PAYMENT INFO.
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Check #
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Number:
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Exp Date
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Credit Card Type.
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Billing Zip Code
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Name On Card:
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