Summit Soapworks - Order Form
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_____Check or Money Order
_____ MC or Visa Number ________________________________
__________Exp date ________CV2 code
SUMMIT SOAPWORKS
PO Box 512
LUDLOW, VT 05149
Phone: 802.228.4900 www.summitsoapworks.com
Name:___________________________________
Billing
Address:_________________________________________________
________________________________________________________
Mailing Address (if different than
Billing):__________________________________________________
_____________________________________
Telephone#:______________________________________________
Email address for monthly special info
(optional):______________________________________
ITEM/PRICE DESCRIPTION
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PRICE
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TOTAL
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SHIPPING - First Class Mail
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$6.50
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SUBTOTAL
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VT RESIDENTS ADD 6% TAX
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TOTAL
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