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SockBroker.Com Mail Order Form |
| Name: |
| Address: |
| Shipping Address if different from
above: |
| Email: Address |
| Order Number ( Pick
your own number between 200-300) : |
| Check or money order Number: |
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Style Number Usually right below the picture |
Quantity |
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Size |
Colors |
Unite Price |
Total Price |
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| (example) N24 |
6 Pack Deal |
King size |
2black,2grey,
2 white |
24.95 |
24.95 |
| (example) ss-126 |
3 pak |
Men's |
1black, 2 blue,
1 taupe |
14.95 |
14.95 |
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SockBroker.Com
9420 Reseda Blvd, #511 Northridge, Ca
91324-2974 Make Checks Payable to: "Kambiz"
Customer Comment Below if any:
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Sub-Total: |
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Shipping Please check the appropriate box |
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Add Tax if shipped with in California
8.25% |
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Grand Total |
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