Native American Exotics
640 South East 164th Ave.
Silver Springs, Fl 34488
www.nativeamericanexotics.com
ORDER FORM
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Customer Information

NAME

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ADDRESS

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CITY, STATE, ZIP

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PHONE

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EMAIL

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Shipping Information

NAME/COMPANY

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ADDRESS

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CITY, STATE, ZIP

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ITEM # DESCRIPTION TOTAL
     
     
     
     
     
     
     
     
     
     
     
     
Sub-Total
 
Florida residents only.              7% Sales Tax
 
You will be emailed your totals once you place your order online.              Shipping, Insurance & Handling
 
Total
 
Cashier's Check and Money Orders accepted.               Payment Method
 

Make checks and money orders payable to: S. G. Jones
Thank you for your order!