Order Form

For Secure order form, click here.

		Name:

	Address:

	City:

Telephone:

	E-mail:


	State:


	ZIP:


	FAX:

QTY:

STOCK#

SIZE

COLOR

DESCRIPTION

PRICE

TOTAL

Postage and Handling charges will be added to your invoice. For orders under $20.00, please add $5.00. For orders $20.01 - $35.00 please add $6.00. For orders $35.01 - $50.00 please add $7.00. For orders over $50.00, please add $9.00.

Pay me securely with any major credit card through PayPal!


	Pay by Check and enclose copy of this completed order form.

Mail your check to: TOP ASSOCIATES, 11624 Busy Street, Richmond, VA 23236


	Send your Order


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