Dave's Surplus, INC
Buy Mannequins Dot Com
FAX to 1-302-732-9557
Order Form

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Name: ________________________________________________ Phone: (_____)_________________

Address: ______________________________________________________

City: ______________________ State: ____ Zip: __________ e-mail: ___________________________

Method of Payment ___ Check ___ Money Order ___ Credit Card  

Item Description Qty Price Total
      $
      $
      $
      $
      $
Shipping Continental U.S.     $
Total:  $

Credit Card Type (Circle One):     Visa     MasterCard     Discover      AMX

Credit Card #: ______________________________________ Exp. Date: ______________

Signature: _________________________________________________

Mail: Print this order form, fill in all information and mail to:
Dave's Surplus , INC
P.O Box 573,
Frankford , Delaware. 19945

Call in Order to 1-800-535-4752
De: 1 302 732 9556
FAX to 1-302-732-9557