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Dead
Dot Archery
KLS Enterprises 1427 ED Brent Rd. Bardstown, Ky. 40004 www.DeadDotArchery.Com
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| QUANTITY _____ X $79.95 | __________ |
| KENTUCKY RESIDENTS ADD 6% | __________ |
| SHIPPING UPS or USPS Priority | $10.00 |
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GRAND TOTAL
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| NAME | _________________________________ |
| ADDRESS | _________________________________ |
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| STATE | _________________________________ |
| ZIP | _________________________________ |
| PHONE | _________________________________ |
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| Method of Payment | American Express___ Master Card ___
Visa ___ Money Order ___ Personal Check ___ |
| Credit Card Number | _________________________________ |
| Expiration Date | _________________________________ |
| COMMENTS | |