JACKET ORDER FORM

Kilts Quits N'Stuff
C/O 213 DeLee Drive
Kingsport, TN. 37663

1. MAIL ORDER-- PRINT FORM,fill out appropriate section of order form and send to above address.
Make money order, or cashier's check, to Susan Leenders Ent.
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Jacket Order- (1),(1A),(2) Chest Size______Sleeve (short)(reg.)(long)
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Jacket Order- (1),(1A),(2) Chest Size______Sleeve (short)(reg.)(long)
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Jacket Order- (1),(1A),(2) Chest Size______Sleeve (short)(reg.)(long)
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Jacket Order- (1),(1A),(2) Chest Size______Sleeve (short)(reg.)(long)
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(1)Prince Charlie and Vest-------------------___JACKET(s)@$350.00------------------$______.___

(1A)Prince Charlie Jacket Only---------------___JACKET(s)@$275.00------------------$______.___

(2)Argyll Tweed Jacket-----------------------___JACKET(s)@$275.00------------------$______.___


SUB TOTAL-------$_______.___
8.5% SALES TAX----------------$_______.___Tennessee Only
SHIPPING----------$_______.___
TOTAL--------------$_______.___

CREDIT CARD INFORMATION

VISA__MASTER CARD__AMERICAN EXPRESS__DISCOVER__
CARD NUMBER __ __ __ __ | __ __ __ __ | __ __ __ __ | __ __ __ __EXPIRATION DATE_____________
NAME ON CARD_______________________SIGNATURE_____________________________________

SHIP TO:-------------NAME_____________________________________
ADDRESS___________________________________
CITY____________________STATE (PROV)_______
ZIP CODE (POSTAL CODE)_____________________
PHONE NUMBER_(____)___