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Dave's - D. C. W. Collection Phone: 1-800-346-6718 or 858-513-6551
P. O. Box 500850 Fax: (858) 513-6557
San Diego, CA 92150-0850


SOLD TO: SHIP TO: (If not the same)

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Name Name

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Address Address

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City, State, Zip City, State, Zip

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Phone Number


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SUB TOTAL | |
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CA orders: add 8.00% sales tax if under $1,500 | |
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Shipping & Handling | $5.00 |
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Total | |
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Alternate Choices:_________________________________________________________
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PAYMENT METHOD:
( ) Check Enclosed, Make check payable to "Dave's - D.C.W. Collection".
( ) MasterCard, Visa Cards or American Express

Card Number: _____________________________________ CVV2 Number:_____________

Expiration Date: ______________

Signature: ______________________________________________________________