Samurai Swords Order Form
The Samurai Sword Store
P.O. Box 7903
Cumberland, RI 02864
DATE:_______________________
Name:
Ship To Address:
Email Address:
Phone Number:
QUANTITY
MODEL NUMBER AND/OR DESCRIPTION
AMOUNT
SUBTOTAL
RHODE ISLAND RESIDENTS INCLUDE SALES TAX (7%)
Shipping Charge is $9.95
$9.95
TOTAL DUE
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