| Brandy's Order Form | 1443 Hwy 84, Amity, AR 71921-9646 870-342-5005 Voice | |||
| Name | PH# | |||
| Address | City | |||
| State & ZIP | ||||
| ITEM # | QTY | DESCRIPTION | PRICE | EXTD PRICE |
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
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Check, money order, or credit card orders only. We accept M/C and VISA. No COD orders please. Arkansas residents include sales tax. Returned goods must be posted no later than 15 days after the purchase date and accompanied by your sales receipt from Brandy's. All returns will have a re-stocking fee applied of 15% of the cost of the returned items with a $5.00 minimum. Thank you, we appreciate your patronage. |
subtotal | $ | ||
| Tax (AR) | $ | |||
| Shipping | $ | |||
| TOTAL | $ | |||
| Information below this line will be shredded when your order has been processed | ||||
| CC# | Exp Date | |||
| CVN | Signature | |||