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Order Form
Bunker Militaria Mail Order Form
Bunker Militaria
P.O. Box 1531
Claremore, OK 74018-1531
918-283-4417
[email protected]
Please print this form and fill in all the required fields. Also, please enter the item number and brief description for each item you wish to purchase. All payments should be made out to BUNKER MILITARIA.
| First Name: (required) _______________________________________ | Last Name: (required) _______________________________________ | ||||||||||||||||||||
| E-mail Address: (required) ___________________________________________________________________________________ | |||||||||||||||||||||
| Mailing Address: (required) ________________________________ | Apt./ Suite # __________________________________ | ||||||||||||||||||||
| City: (required) __________________________________________ | State/Province: (required) ________________________ | ||||||||||||||||||||
| Zip/Postal Code: (required) ________________________________ | |||||||||||||||||||||
| Country: (required) _____________________________________ | |||||||||||||||||||||
| Daytime Phone Number: (required) ________________________ | |||||||||||||||||||||
| Evening Phone Number ________________________________ | |||||||||||||||||||||
| ITEM # | DESCRIPTION | QTY | PRICE EA. | TOTAL |
| SUBTOTAL | ||||
| COUPON CODE _____________________ | ||||
| OKLAHOMA RESIDENTS ADD 9% SALES TAX | ||||
| SHIPPING | ||||
| GRAND TOTAL | ||||
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