5391 Three Notched Road Crozet, VA 22932
Ordered by: (Please make any name/address corrections below.)
Ship to: (If different than “ordered by.”)
Name ______________________________________________________________________ Address ___________________________________________________ Apt.# _____________ City
___________________________________________________ State Elvis Insider Member Number ___________________ Page No. Item Number Color Size ________ Zip Daytime Phone ____________________________ E-mail Address ___________ Description Quantity Price Each Total
Subtotal
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Made payable to Elvis Catalog. Paying by check or money order will require 10 days for processing.
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** SALES TAX - For delivery to: CA add 7.25%, MD add 5.0%, NY add 7.8%, VA add 4.5%
CALL US! Toll Free 1.888.ELVIS ROCKS
(1.888.358.4776) Expiration Date Enter Promo Code Offer
Shipping & Handling* Elvis Insider Member
Discount 10%
Sales Tax** TOTAL
Please visit
WWW.SHOPELVIS.COM/Catalog for exact shipping prices or call one of our Customer Service Representatives: 1-888-ELVIS-ROCKS
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