Please fill out the following form to complete your order: WASHING MACHINE LINT TRAP QTY TOTAL 1-47 @ $1.90 48-479 @ $ 1.10 480+ @ $ 1.00 HAIR TRAP QTY TOTAL 1-47 @ $1.80 48-479 @ $ 1.00 480+ @ $ .90 DRAIN STOPPER QTY TOTAL 1-47 @ $1.85 48-479 @ $ 1.00 480+ @ $ .90 Terms: 2% 10 N30 FOB Dest over $312.00 FOB Shipping Point Under $312.00 - Prepaid All Freight Based on Continental US Shipment via United Parcel Service Company Name: First Name: Last Name: Email: Area Code and Phone Number: Area Code and Fax Number: P.O Number: Billing Address: Shipping Address: Please enter the code on the right below Burlington Products - 2801 Knollcrest Drive - Burlington, WI 53105 - phone: 262.763.9905 - fax: 262.763.9905 - email: sales@lilapple.net
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