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    Mocajacketform

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    This document contains payment and shipping information for an order from MOCA SUPREME. It instructs the recipient to make checks payable to MOCA SUPREME and mail payments to their P.O. Box in Flora Vista, New Mexico. It also provides contact information for Penney Howard and requests the recipient fill out their name, address, phone number, email, jacket total, shipping costs, and total enclosed.

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    Mocajacketform

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    api-238363962
    76 views1 page
    This document contains payment and shipping information for an order from MOCA SUPREME. It instructs the recipient to make checks payable to MOCA SUPREME and mail payments to their P.O. Box in Flora Vista, New Mexico. It also provides contact information for Penney Howard and requests the recipient fill out their name, address, phone number, email, jacket total, shipping costs, and total enclosed.

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    This document contains payment and shipping information for an order from MOCA SUPREME. It instructs the recipient to make checks payable to MOCA SUPREME and mail payments to their P.O. Box in Flora Vista, New Mexico. It also provides contact information for Penney Howard and requests the recipient fill out their name, address, phone number, email, jacket total, shipping costs, and total enclosed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    76 views1 page

    Mocajacketform

    Uploaded by

    api-238363962
    This document contains payment and shipping information for an order from MOCA SUPREME. It instructs the recipient to make checks payable to MOCA SUPREME and mail payments to their P.O. Box in Flora Vista, New Mexico. It also provides contact information for Penney Howard and requests the recipient fill out their name, address, phone number, email, jacket total, shipping costs, and total enclosed.

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    of 1

    Make Checks Payable to:

    MOCA SUPREME

    Remit to:
    P.O. Box 34
    Flora Vista, NM 87415

    SHIP TO:

    attn: Penney Howard


    505-334-8605
    moca-supreme-treas@comcast.net

    DATE: ____________________

    NAME: __________________________________________
    ADDRESS: ______________________________________
    CITY/ST/ZIP: _____________________________________
    PHONE:_________________________________________

    JACKET TOTAL: $___________


    SHIPPING (per location):

    $9.00

    TOTAL ENCLOSED: $________

    EMAIL:__________________________________________

    Rev. 11/14/2014

    SUPPLIER: P&W SPECIALTIES 13050 PRELUDE DRIVE FRISCO, TX 75035


    Tel: 940-497-2714 Fax: 940-321-3405 Email: pandw@tx.rr.com

    www.WeLoveOurHeroes.com

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