Duvines Order Form

Please print this form, fill it out, make your check or money order payable to Duvines and mail to:
Duvines
P.O. Box 175283
Arlington, Texas 76003

Please NOTE:  We ship only to the Continental USA.

QTY ITEM # DESCRIPTION Price Total
Subtotal
*Texas State Sales Tax 8%
**Shipping
TOTAL

* If ship to address is in Texas please add 8% sales tax.
** Order to the 48 Contiguous States are free 1st class usps shipping.

SHIP TO:
First Name Last Name
E-Mail Address
Street Address
City
State/Province
Zip/Postal Code