HYDRO-TAP SERVICE, INC.
12300 Ivey Mill Road
Chesterfield, Virginia 23112
Office (804) 590-1981
Fax (804) 590-1119
Email
HydroTap@WeTapAnything.com
HydroTap@aol.com
Please send a completed order form and check or money order for the total amount due in a self-addressed, stamped envelope to the address above.
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------------------------------------------------------------------------------Name:__________________ Address:_____________________
Telephone #: _____________ _____________________
|
Type |
Size |
Color |
Price |
Quantity |
Sales Tax or N/A |
Total |
|
Short Sleeve |
$18.00 |
|||||
|
Long Sleeve |
$19.00 |
|||||
|
Hooded Sweatshirt |
$25.00 |
|||||
|
Zipper |
$26.00 |
|||||
|
Sweatpants |
$20.00 |
Total Amount Due_____________