Fax Order Form
Fax your order directly to
Synapse.
PRINT this form on your printer, neatly fill in the
information, and
FAX the completed form
to (415) 455-9801.Your order will be confirmed and fulfilled upon receipt.
To: Synapse Sales Order Fulfillment Fax: (415) 455-9801 Today's Date _______________________ |
Synapse 14 Lynn Court San Rafael, CA 94901 phone: 415 455 9700 toll-free: 800-317-9611 Questions? Send us email info@synapseadaptive.com |
Federal Tax ID# 680344980| Name | |
| Company | Title |
| Billing Address | |
| Street | |
| City | State & Zip |
| Telephone | Fax |
| Email Address | |
| Shipping Address (if different) | |
| Street | |
| City | State & Zip |
| Billing Information | |
| Card Number (MC, VISA or AMEX ) | Expiration Date |
| Authorized Signature | CREDIT CARD #CODE |
|
RETAIL PRICE |
QTY |
WEB PRICES |
EXTENDED |
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Speech Recognition Software |
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599.00 |
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Dragon NaturallySpeaking Premeium, Choose English, Spanish or French |
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249.00 |
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1,199.00 |
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Dragon NaturallySpeaking Mobile: NaturallySpeaking Preferred and a SONY Digital Recorder |
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449.00 |
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Speech Recognition Microphones |
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149.00 |
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135.00 |
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Headset Switcher™ Multimedia Amplifier MX10 Microphone-telephone |
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195.00 |
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199.00 |
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TalkPro Basic Speech Recognition Microphone |
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79.00 |
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Andrea NC-19 |
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75.00 |
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Synapse ADA Workstations |
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Synapse ADA Full-Compliance Workstation |
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QUOTE |
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Synapse ADA Full-Compliance Library Workstation |
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QUOTE |
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Synapse ADA Full-Compliance Special Needs Lab Workstation |
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QUOTE |
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Low Vision Software |
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395.00 |
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595.00 |
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ZoomText Magnifier Single Network current version |
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595.00 |
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ZoomText Magnifier/Reader Single Network current version |
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795.00 |
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International versions add $100.
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ZoomText Multi-User Licenses |
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ZoomText Magnifier Network 5 Users |
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1,595.00 |
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Magnifier Network Add-on 5 Users |
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1,195.00 |
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ZoomText Magnifier/Reader Network 5 Users |
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2,395.00 |
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Magnifier/Reader Network Add-on 5 Users |
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1,795.00 |
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ZoomText Magnifier District 5 Users |
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1,595.00 |
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Magnifier District Add-on 5 Users |
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1,195.00 |
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ZoomText Magnifier/Reader District 5 Users |
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2,395.00 |
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Magnifier/Reader District Add-on 5 Users |
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1,795.00 |
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ZoomText Magnifier Reader USB |
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695.00 |
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| ZoomText Magnifier USB |
495.00 |
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DECtalk PC Speech Synthesize External |
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1,195.00 |
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Window-Eyes Pro |
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895.00 |
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Window-Eyes 5 user site license, Education/Government |
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2,385.00 |
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Window-Eyes 5 user site license, Commercial |
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3,180.00 |
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Braille Translation Software |
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595.00 |
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325.00 |
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595.00 |
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Duxbury Braille Board for sign making in Windows (includes scalable Braille font) |
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595.00 |
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Ergonomic Hardware - CALL FOR REPLACEMENT PRODUCTS, MANY STYLES TO CHOOSE FROM |
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490.00 |
N/A |
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490.00 |
N/A |
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505.00 |
N/A |
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415.00 |
N/A |
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415.00 |
N/A |
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430.00 |
N/A |
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365.00 |
N/A |
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325.00 |
N/A |
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340.00 |
N/A |
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475.00 |
N/A |
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475.00 |
N/A |
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490.00 |
N/A |
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1,695.00 |
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995.00 |
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Ergonomic Chairs - CALL FOR CUSTOMIZATION |
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BioForm KT w/ Knee Tilt Rocking Function |
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from 599.00 |
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BioComfort Chair |
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from 489.00 |
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BioComfort Chair w/ leather |
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from 1,039.00 |
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BioSupport Chair |
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from 467.00 |
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Ergonomic Tables or Workstations |
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VariTask Basic Single Surface, w/ adjustable hand crank (36x30, laminate) #205 |
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Call for replacement product |
N/A |
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VariTask Basic: Dual surface adjustable height, with DataCenter keyboard mechanism (36x30, laminate) #205WL |
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1,975.00 |
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VariTask Basic: Dual surface Corner unit, with DataCenter keyboard mechanism (42x30, laminate) #250WL |
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2,102.00 |
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Power Adjustable - Electric Lift |
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VariTask E-Series: Rectangular Desk top, single column with single surface (30x36, laminate) #605L |
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1,639.00 |
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VariTask E-Series: Rectangular, Dual Surface with Full Width keyboard (30x36, laminate) #605WL |
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2,296.00 |
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VariTask E-Series: Hexagonal Corner Unit (42x30, laminate) #650L |
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1,982.00 |
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Braille Displays |
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ALVA 544 Satellite Traveler |
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5,595.00 |
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8,995.00 |
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ALVA Satellite Pro 584 |
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9,995.00 |
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Juliet Pro 60 |
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4,495.00 |
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2,995.00 |
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3,995.00 |
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Index Basic-D |
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3,295.00 |
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OneTouch Scanner Flat Bed For Read & Write and Wynn Wizard |
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350.00 |
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Creativity Tools |
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Access Bundle #4: Includes: IntelliKeys USB and Overlay Maker 3 |
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510.00 |
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Access Bundle #5: Includes: Intellikeys USB, OverlayMaker 3 and Classroom Suite (IntelliTalk 3, IntelliMathics 3, IntelliPics Studio 3) |
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845.00 |
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Access Bundle #6: Includes OverlayMaker 3, Classroom Suite |
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450.00 |
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395.00 |
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Overlay Maker 3 Mac/Win |
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139.95 |
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Software Access |
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SwitchIt! Arcade Adventure Win/Mac |
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200.00 |
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Curriculum Resources |
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Classroom Suite 4: IntelliTalk 4, IntelliMathics 4, IntelliPics Studio 4 |
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345.00
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Switches - TASH Switches Buddy Buttons |
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74.00 |
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Switches are $200.00 Minimum Order |
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Attainment Products
- Special Education |
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Community Access |
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Toward Independence CD-Rom Win or Mac |
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129.00 |
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Picture Cue Dictionary Bundle CD-Rom - Win or Mac |
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79.00 |
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Looking for Words CD-Rom - Win or Mac |
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99.00 |
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Palabres Esenciales Windows Only |
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79.00 |
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Math and Reading |
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Dollars and Cents CD - Win or Mac |
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99.00 |
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Show Me Math - Addition/Subtraction, Multiplication, Division CD - Mac or Win |
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99.00 |
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Pix Writer Win or Mac |
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199.00 |
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Show Me Spelling CD-Rom - Mac or Win |
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129.00 |
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| Reading and Writing Software | ||||
| WordQ/SpeakQ Bundle | 399.00 | |||
| Read & Write Standard, no OCR WIN or MAC | 350.00 | |||
| Read & Write Gold with OCR WIN or MAC | 645.00 | |||
| WYNN Wizard with OCR WIN | 995.00 | |||
| WYNN Reader, no OCR WIN | 395.00 | |||
| Edmark/Riverdeep Learning Software | ||||
| Bailey's Book House School Version, 2 users | 79.95 | |||
| Bailey's Book House 6 Pack | 189.95 | |||
| Bailey's Book House Site License, Unlimited | 699.00 | |||
| Millie's Math House School Versions, 2 users | 79.95 | |||
| Millie's Math House 6 Pack | 189.95 | |||
| Millie's Math House Site License Unlimited | 699.00 | |||
| Sammie's Science House School Version, 2 user | 79.95 | |||
| Sammie's Science House 6 Pack | 189.95 | |||
| Sammie's Science House Site License Unlimited | 699.00 | |||
| Trudy's Time and Place School Version, 2 user | 79.95 | |||
| Trudy's Time and Place 6 Pack | 189.95 | |||
| Trudy's Time and Place Site License | 699.00 | |||
| Virtual Labs: Light and Electricity | 99.95 | |||
| Virtual Labs: Light and Electricity 6 Pack | 249.95 | |||
| Virtual Labs: Light and Electricity Site License | 725.00 | |||
| Inspiration | 75.00 | |||
| Kidspiration | 75.00 | |||
| TestTalker Teacher Edition - 1 teacher, 1 student | 399.00 | |||
| TestTalker Student Edition - 5 Pack | 249.00 | |||
| TestTalker Super Pack - 5 5packs for price of 4) | 995.00 | |||
| CALL FOR QUANTITY QUOTES | ||||
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Touch Windows for CRT |
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TouchWindow 15" USB |
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350.00 |
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TouchWindow 17" USB |
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395.00 |
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Touch Window 19" USB |
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450.00 |
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MagicTouch available for LCD's
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| $200.00 Minimum Order | ||||
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SUBTOTAL |
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SALES TAX
9.50% |
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Shipping,
handling and insurance |
|
|
14.95 |
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TOTAL |
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Note: Any additional item can be written on blank lines if needed.