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D and D Enterprises
44 Blain Rd.
Purvis, MS. 39475
Tel: 1-601-255-4149

Ship to:

Name:___________________________
Address:_________________________
Address/Apt. #____________________
City/State/Zip:____________________
Home Phone:______________________
Work Phone:______________________		 Bill to: Same_____

Name:___________________________
Address:_________________________
Address/Apt.# ____________________
City/State/Zip:____________________
Home Phone:______________________
Work Phone:______________________
                        

Email:( for notifications regarding your order)__________________________________________

Quantity  Item Description  Subtotal Total
       
     
       
Free Shipping  
Tax: 
(MS. Res. Add 7%)		  
Grand Total:  
We Gladly Accept:CC
Payment Method: Visa___   MC___ Discover___ Amex___ Check___ Money Order___
 Credit Card #:___________________________ Ex. __/__
Sales Tax: Only Mississippi Res. Add Sales Tax. MS. Res. add 7.00%.

Thank you for your order!
Please allow 7 to 10 business days for delivery from the day you send your order to us. All orders ship USPS Priority with confirmation number sent to you by email when we ship.