*Firstname: *Lastname:
*Town of residence:
*email address sent from: *Reply email:
*Postal address #1:
Postal address #2: (if necessary)
*Postal town: *Postal state or province:
*Postal (zip) code: *Postal country: Phone: (recommended)
* My order details, how many of each size, sales tax if applicable: -----> Sample order: Small-2, Large-1, XLarge-2 = 5* $18.00 = $90.00,
BUT, for 5 or more shirts shipped to same address, subtract $3.00 per shirt to compute total price of product purchased.
If buyer does not add shipping-address state sales tax, J Manimas will pay Vermont Sales Tax.
I changed my mind. Clear and reset the form:
I'm finished and ready to send my order message. And...
I JUST REMEMBERED I NEED TO PRINT TWO COPIES OF THIS FORM BEFORE SENDING ONE TO J Manimas and keeping ONE for my records.
Then click on SUBMIT here below and send check for payment in full with a copy of this email message to:
J Manimas, 3466 Morse Brook Road, Putney, VT 05346
Submit: ...Click only once please.Your order message is sent only by clicking on the Submit Button immediately above.
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