Chain Cane Order Form
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Phone: E-Mail: info@ChainCane.com |
| Description | Ship ea | Qty. | Cost ea. | Item Total |
| Blue Sparkle Chain Cane | $ XX.XX | $ 75.00 | ||
| Red Sparkle Chain Cane | $ 75.00 | |||
| Grey Sparkle Chain Cane | $ 75.00 | |||
| Chrome Chain Cane | $ 99.50 | |||
| Pkg. of 3 High Quality Chain Cane Tips | $10.00 |
| Sub Total | |
| Shipping | |
| Nevada Residents add 7.5% Sales Tax: | |
| Order Total |
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Additional Comments & Special Instructions: |