Welding Cap Pattern Order Form

Order Date:_________________________
Ship To Address - U.S. and Canada only: (Please Print Clearly)
Name __________________________________________
Street Address ___________________________________
Suite, Apt _______________________________________
City ____________________________________________
State ___________________________________________
Zip code_________________________________________
E-mail __________________________________________

Qty. Cap Size Package Description Price Each Total
Texas residents please add 6.25% Sales Tax Texas Sales Tax:  
  Shipping: FREE
Mail this completed form with MONEY ORDER payment to:
B Cook
P.O. Box 630032
Nacogdoches, TX 75963

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