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RIVERBANK   ARMORY
PRINT THIS FORM FOR EASY MAILING OR FAX!
Mail to:
George Liakos
P.O. BOX 85
Riverbank, CA 95367

OTHER WAYS TO ORDER...
    PHONE:       (209) 869-5576        
FAX:        (208) 441-1354
We can only receive fax's so if you need a reply include an email address or phone number
SOLD TO: _________________________________________ SHIP TO: _________________________________________
ADDRESS: _________________________________________ ADDRESS: _________________________________________
              _________________________________________               ________________________________________
               
FOR SHIPPING- IS THIS ADDRESS:
RESIDENCE _____    BUSINESS _____ 
 
PHONE: _____________ CREDIT CARD # ________________________________________________ EXPIRE: ____/_____/___
E-MAIL  ADDRESS  ____________________________________________________________________________________
ITEM #
DESCRIPTION
QUAN
PRICE 
TOTAL 
         
         
         
         
         
         
         
         
  SUBTOTAL _______________
  CALIFORNIA RESIDENTS ADD 8.375% SALES TAX _______________
  SUBTOTAL _______________
  SHIPPING, HANDLING, INSURANCE _______________
  TOTAL _______________

                                                  "THANK YOU FOR YOUR ORDER"

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