Phone - 330-339-4214		        Mail to:
Colquhoun Imports
555 PMB 101
West High Avenue
New Philadelphia, OH 44663-2005

SAMPLE ORDER FORM

Colquhoun Imports accepts Personal Check, Cashier's Check or Money Order
Your Name:___John McLaughlin___________________________________

Phone Number:___330-555-5555_____________________________________

Delivery Address:____12324 Clover Street____________________________

City:_________Dublin______________________________________________

State:_________Ohio__________ Zip Code:____12345-0987_____________

Country:____USA____ E-Mail Address:_______________________________

How did you find us?:______Friend________________________________

Comments:_____Thank You for Shopping with us______________________

ITEM DESCRIPTION
Type of Shirt or Tie		 SHIRT COLOR SHIELD FLAG BANNER CLAN or DESIGN SIZE QUANTITY $ TOTAL
 T- Shirt Short Sl.  Gray    X   Colquhoun   L  1 $22.00 
 Clan Polo Shirt  White  X     MacDonald  XL  1  $30.00 
 Neck Tie         Guthrie     1 $15.00 
   AND SO   ON          
                 
                 
Sub Total
 $67.00 
Ship Fee* $6.00 
Total $  $73.00


* Shipping and Handling Fees
1. Continental United States $4.00 for the first item $1.00 for each additional
2. Alaska, Hawaii, and Puerto Rico $10.00 for the first item $1.00 for each additional 3. Outside the United States Shipments to destinations outside the United States are calculated based on the shipping method, country, and the weight of the parcel.

I appreciate your business, and I will strive to provide to you the very best in quality and service. Feel free to contact me.

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