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All information remains PRIVATE

Confidential, used ONLY to fulfill your order.

Purchased by:

Name

Address

City

State

Zip

AC/Tel

SHIP to:  (note "same" if same)

Name

Address

City

State

Zip

AC/Tel

Quantity

Item Description
Saddles FIT headstones BETWEEN 5 1/2" to 8 1/4" wide ONLY.

Total Unit Price

Total Price

AMP-500 Headstone Saddle with wing nuts

$14.00

$

AMP-600 Planter Box (green)

$14.95

$

AMP-600 Planter Box (white)

$14.95

$

AMP-600 Planter Box (terra)

$14.95

$

CANADA, ALASKA, HAWAII:  ADD $9.45 for 1 unit, $3.95 for 2 units, 0 for 3+

ADDED Shipping

$

  Other countries, you must call first.

Total Amount:

$

All prices include everything, including handling and freight or shipping charges except  ADDED SHIPPING, Canada, Alaska, Hawaii
Please fill out the form (type in - then print - it will print 81/2"x11", or print it and fill by hand), print it,
& mail it to us with your check or money order made payable to:  American Molded Plastic, Inc.
Prices listed are USD - United States Currency - please allow 2 weeks for delivery. Mail to:

American Molded Plastic, Inc.
P.O. Box 434
Newton Falls, Ohio 44444
Fax: (330) 872-3325

Thank you for your order! We know you'll be satisfied. Stop back and tell us. Thank you.
While our products are very easy to use, if you have questions, please email us - preferred,
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Copyright 2000-2017 and Continuing, American Molded Plastic. Inc., All rights Reserved.