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| Item Number | Qty | Style | Price | Total | ||||||
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| Shipping: | $1.59 | |||||||||
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| Mail Payment to: LighterCovers.Com P.O. Box 3218 Daveport Florida 33836 phone # 407.625.3507 | ||||||||||
| Signed: | Date: | |||||||||
| We will inform you via email of the receipt of your order. | ||||||||||
| Please indicate your email address below: | ||||||||||
| We will send out your order within 5 days of receiving the above form | ||||||||||
| accompanied with your payment! | ||||||||||