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How To Order
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Order Now Online!
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Print this form & fill out for regular mail orders or
you may also fax in your order form to 217-726-9604
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CAP PAC INTERNATIONAL, Inc.
1218 W. Monroe Street
Springfield, IL 62704
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CAP PAC International, Inc. offers a 100% 30-day Money Back Guarantee. If you are dissatisfied in any way, simply return the product within 30 days with your receipt and a written explanation for a prompt refund.
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Please allow 3-5 Business days for Delivery
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Cut along dotted line
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ORDER FORM
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Name:____________________________________________________
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Address:__________________________________________________
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City/State/Zip:_____________________________________________
Phone: __________________________________________________
Email Address: ____________________________________________
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CAP PAC Sr. (holds 30 caps)
1.6 lbs
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price each $19.95
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E-Coupon Code (place # here)
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# _____________
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Please send me
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CAP PAC Sr. |
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Subtotal |
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IL residents add 7.25% Sales Tax
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Shipping and Handling Chart:
| Product |
Weight lbs
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Shipping |
| Cap Pac |
0.5-1.00
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.... |
7.95
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| Cap Pac |
1.00-3.00
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.... |
9.95
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| Cap Pac |
3.00-4.00
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.... |
10.95
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| Cap Pac |
4.00-5.00
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.... |
13.95
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| Cap Pac |
5.00-7.00
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.... |
15.95
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| Cap Pac |
7.00-8.00
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.... |
17.95
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| Cap Pac |
8.00-9.00
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.... |
19.95
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| Cap Pac |
9.00-10.00
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21.95
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| Cap Pac |
10.00-11.00
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23.95
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| Cap Pac |
11.00-12.00
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25.95
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| ***Each Cap Pac weighs 1.6 lbs*** |
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Shipping and Handling
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| Total Enclosed |
$ __________
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| Credit Card Information |
| Credit Card Type |
__________
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| Credit Card # |
____________________
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| Expiration Date |
__________
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| Name on Card |
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_________________________________
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| Billing Address on Credit Card |
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_________________________________
_________________________________
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I have enclosed my check OR money order credit card (circle one)
For faster service, please enclose your method of payment
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