DPS · 122 Rose Dhu Way · Savannah, GA 31419

             BILLING/MAILING ADDRESS                                    SHIP TO (IF DIFFERENT)

Name __________________________________    Name __________________________________

Address ________________________________    Address ________________________________

City ____________________________________   City ____________________________________

State ______________________ Zip _________    State _______________________ Zip ________

Phone number (required for credit card payments )    (_______)____________________________

Email (recommended to confirm order payments) _______________________________________

QUANTITY

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TITLE 

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 UNIT PRICE

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 TOTAL PRICE

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PAYMENT BY:   CHECK/MONEY ORDER  
                     
                

 
Credit Card Number (Include all 16 numbers)  

EXPIRATION DATE:    
       

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  AUTHORIZED SIGNATURE

 


SUBTOTAL                            _______________

7% SALES TAX (GA ONLY)    _______________

SHIPPING (SEE CHARGES)    _______________

TOTAL DUE                          _______________

RETURNS POLICY
You may return an item within 30 days of receipt for a full refund less shipping and handling charges. All items must be returned in new condition. They cannot contain any writing instrument or erasure marks, etc. We will not give refunds for any items that cannot be resold as new. We highly suggest returning items insured.