JR & SONS
Jeff Robinson & Sons Ph. (419) 465-2193
5338 Peru Center Rd. N. Fax (419) 465-3343
Monroeville, OH 44847
(Please print complete name and address plainly)
Date___________________________________
Name___________________________________________ Phone No. _______________________
Street, Route, or Box_______________________________________________________________
City____________________________State______________Zip_____________Co. ____________
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Ohio use current sales tax : |
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C.O.D. $9.00: |
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P&H (see order page): |
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Total: |
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Visa
Card #
Exp. Date
Signature
Thank You! WEB ORDER