Jackstuff.com
Mail Order Form

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Quantity

ltem

Number

Price

Total
                                                                                                 
         
         
      Sub-total:  
       Shipping: as listed (max.$8)
Needles ship FREE		  
      NY residents must add
8% sales tax		  
        TOTAL:  

Name: ___________________________________________________________

Address: _________________________________________________________

City: __________________________________ State :_____ Zip: _____________

Phone: (______)__________________ E-mail: ___________________________(req'd for PayPal invoice)

Check _____ or money order _____ payable to: Jackstuff.com, or



Mail orders  - send form to: Jackstuff.com, 811 Shoemaker Rd., Webster, NY 14580