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MadRat Rubber Mail Order Form Name: ______________________________________________ Address: ______________________________________________ City: ______________________________________________ State: ____________________Zip:_______________________ Email:
_________________________ Phone: _______________
I accept checks & money orders payable to
Madrat Rubber in U.S. Dollars. Please allow 2 - 4 If Subtotal
is Shipping
Fees Unmounted
Rubber
Only Orders $
0.01 - $ 24.99 $4.95 First Class
Postage
$ 25.00 -
$49.99 $7.50 $0.01 -
$29.99 = $2.75
$50.00 -
$74.99 $10.70 $30.00 -
$59.99 = $4.95 $75.00 -
$149.99 $13.00 $60.00 - $
99.99 = $7.00
$150.00 + $15.00 $125.00 + =
Free
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