Nuts 'R' Us

Order Form

Customer Personal Information

All entries are mandatory.

Title:
First Name:
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Street Address:
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Stock Ordering Information

Orders over $50 will receive free delivery!

Item Product Code Diameter Length Colour Unit Price Quantity Price ($)
Bolt B113 9 50 Black 2.15
Nut N234 5 N/A Silver 0.45
Washer W359 8 N/A Silver 0.30
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Payment Method

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