Uniforms Order Form
416 Main Street,
Lynchburg, VA 24504 Phone:
434.528.1416 Fax: 434.528.1614
paula@cottoncnx.com
for
Timberlake
Christian Academy
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Name:
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Order Date: |
Invoice Number: |
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Address:
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Telephone: |
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Child's Name: |
E-mail:
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Item Number |
Qty |
Color |
S |
M |
L |
XL |
2XL |
3XL |
4XL |
Other |
PRICE |
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Subtotal: |
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Taxes (5%): |
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Credit Card Processing Fee (5%): |
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Total: |
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