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37385 Wheeler Road · Pleasant Hill, Oregon 97455
Phone/Fax(541) 747-2495 · 1-800-547-9787
E-Mail: Order@paigeschoicejams.com
    Date ________________
Name ___________________________________________________________
Address _________________________________________________________
City ________________________ State ____ Zip__________________
Phone ___________________________________________________
QUAN. ITEM # DESCRIPTION UNIT
PRICE
TOTAL
PRICE
         
         
         
         
         
         
         
         
         
         
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SUB TOTAL  
SHIPPING & HANDLING  
TOTAL AMOUNT DUE  
Method of Payment
Check/Money Order Gift Certificate(s) AMOUNT ENCLOSED $_____
Master Card Visa
                               
Exp. Date: Mo __/Yr.20___

Signature ____________________________________________________
Orders are accepted and processed by Paige's Choice · F.O.B. shipping point, Pleasant Hill, OR