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

                             www.WeTapAnything.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
Sweatshirt

$26.00

Sweatpants

$20.00

       

 

 

 

 

 

 

 

 

Total Amount Due_____________