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1-800-350-1510
fax 603-444-6447
mtwashhomebrew@hotmail.com
Mt. Washington
Homebrew Supply
c/o Merrill's Agway
678 Meadow Street,
Littleton, NH 03561
Date of order______________
| Name_____________________ |
Method of payment: |
| Address___________________ |
__Check __Money order |
|
_________________________ |
make both out to: Merrill's
Agway |
| City_______________________ |
__Visa __Master Card |
| State____Zip_______________ |
__Amex __Discover |
| Phone_____________________ |
Card#______________________ |
| Signature__________________ |
Exp. Date_______________ |
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Go here
to calculate your Shipping Charges,
or we can
figure them for you. |
Sub Total |
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| Shipping |
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| Total |
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For out of stock products (check only
one) For your comments
__Please substitute a similar
product ______________________________
__Back order & ship when
available ______________________________
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