A Peachtree Woodworking Supply Company
Sold To:
Ship To: (if different than "Sold To")
Name_____________________________ Name_______________________________
Company__________________________ Company___________________________
Address___________________________ Address____________________________
__________________________________ ___________________________________
City_______________________________ City________________________________
State___________Zip_________________ State___________Zip__________________
Day Phone (_____)________/__________ Day Phone (______)________/__________
Item No.
Description
Qty
Price
Total
         
         
         
         
   
Merchandise Total
  

Method Of Payment:(Foreign Orders is U.S. Funds Only )
For Alaska, Hawaii, and Foreign orders please call for shipping charges

We accept AMERICAN EXPRESS,VISA, MASTERCARD, DISCOVER, CHECK or MONEY ORDER

Please include credit card # and expiration date with charge orders :

_________/__________/__________/___________

Expiration Date:__________/____________

Signature_____________________________________

Mail To:
JustClamps.com
PO Box 421905
Atlanta, GA 30342

Fax To:
(770) 458-2286
JustClamps.com

For Office Use:
ORDER #  
Date Shipped  

Merchandise Total
  
GA Residents Add 7% Sales Tax
  
Shipping Charges:
  
$0 to $25.=$6.75
$25.01 to $50=$7.75
  
$50.01 to $75=$8.75
  
$75.01 to $100.00= $9.75
  
$100.01 to $125.00=$10.75
  
$125.01 to $150.00= $11.75
 
$150.01 to $175.00=$12.75
 
$175.01 to $200.00=$13.75  
$200.01 to $250.00=$14.75  
$250.01 - Up = $15.75  
TOTAL