Dobbins Products
208 Earl Drive
Goldsboro, NC  27530
(919) 580-0621
Name _______________________________________________________________

Address  ____________________________________________________________

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Telephone ______________________  E-Mail ______________________________

Shipping Address (if different) ___________________________________________

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Payment Method        _____Check   _____Money Order   _____Visa  _____MasterCard

Credit Card Number ________________________  Expiration Date ____________

Authorized Signature _________________________________________________


Item Number        Quantity                    Description                                   Price

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Shipping Charges                                                             Total    ________
          Up to $49.99 - Add $9.00
          $50.00 - $99.99 - Add $12.00                          
Shipping Charges    ________          
          $100.00 - 200 - Add $15.00
                                                                                        
Grand Total     ________                                      

      

          
Alaska & Canada pay exact shipping                           
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