NAME
SHIPPING ADDRESS
CITY
STATE
ZIP
COUNTRY
PHONE
FAX
E-MAIL
CHECK
MONEY ORDER (For Fast Delivery)
DESCRIPTION OPENING PRICE EACH QUANTITY TOTAL
SUB-TOTAL
FLORIDA RESIDENTS ADD 7% SALES TAX
SHIPPING & HANDLING: ADD - USA US$5, OVERSEAS US$12
TOTAL
SEE YOUR LOCAL MUSIC DEALER OR ORDER DIRECTLY WITH THIS FORM.

PRINT THIS FORM AND MAIL IT WITH CHECK OR MONEY ORDER TO: BOBBY DUKOFF MOUTHPIECES
14368 SW 139 Ct. MIAMI, FL 33186
ALLOW 2 TO 4 WEEKS FOR DELIVERY.

IF ORDERING DIRECT: THERE IS A ONE TIME EXCHANGE OR MONEY BACK GUARANTEE (IF RETURNED UNDAMAGED AND WITHIN 10 DAYS). PLEASE SEND ANY COMMENTS OR QUESTIONS TO BOBBY DUKOFF AT dukoffinc@bellsouth.net
 
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