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BILLING ADDRESS
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DATE: / /
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| NAME
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| ADDRESS
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| CITY · ZIP
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| STATE
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| PHONE · FAX
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| E-MAIL
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| NAME
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| ADDRESS
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| CITY · ZIP
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| STATE
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| TELEPHONE
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| PRODUCT NAME
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STYLE NO.
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COLOR - FINISH
DESCRIPTION
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PRICE
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QUANTITY
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TOTAL
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SUBTOTAL
TAX
GRAND TOTAL
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| BANK / WIRE TRANSFER
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| C.O.D.
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BAMBOO FLOOR GALLERY, INC.
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TELEPHONE: 1-201-724-1087 · FAX: 1-866-303-1029
E-MAIL: sales@bamboofloorgallery.com
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Copyright © 2003 [Bamboo Floor Gallery, Inc.]. All rights reserved.
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