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Retail Purchase Order Form

Discounts: Buy 2 or 3 pipes and take a $1.50 off each
4 or 5 pipes: $2.25 off ea. ~ 6+ pipes: $3.00 off ea. ~ 8+ pipes: S & H is free

Corn pipes
Yellow Corn Pipe Order: @ $12.95 each Blue Corn Pipe Order: @ $12.95 each White Corn Pipe Order: @ $12.95 each Red Corn Pipe Order: @ $12.95 each Assorted Corn Pipe Order: @ $12.95 each
Animal pipes
Frog Pipe Order: @ $18.95 each Fish Pipe Order: @ $18.95 each Bug Pipe Order: @ $18.95 each Assorted Animal Pipe Order: @ $18.95 each
Subtotal: $0.00

Please review your order. Make any changes above then click "Calculate Totals" (or an "=" button).

Contact Information & Shipping Address:

First Name:	*		Last Name:	*
Email:	*		Phone:
Address:			State/Prov.:
			Country:
City:			Postal Code:
Notes:	The "Notes" box is for any questions, instructions or whatever you feel we need to know. * Required - At least that's all we need to take the order. A shipping address can be sent later.

Discounts:

• Buy 2 or 3 pipes and take $1.50 off each pipe.
• Buy 4 or 5 pipes and take $2.25 off each pipe.
• Buy 6 or more pipes and take $3.00 off each pipe.
• Buy 8 or more pipes and S & H is free.