FAX TO: Ragsdale Finials/1-843-766-4446     ~    Your Telephone Number:____________________

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FAX to: 1-843-766-4446 or Telephone your order to: 1-843-766-4114

Finials: Original, Animals, Eggs, 20th Anniversary
Series Item # Finish Quantity Price Total
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Rings: Size Finish Quantity Price Total
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Brackets: Item # Finish Quantity Price Total
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Cord Pulls: Item # Finish Quantity Price Total
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Tassels: Item # Finish Quantity Price Total
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Poles:
Length Diameter Finish Quantity Price Total
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Lamps: Item# Finish Quantity Price Total
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Lamp Finials: Item # Finish Quantity Price Total
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Shipping/Payment Instructions: Grand Total of Order  ///
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Payment will be by: Credit Card Personal Check C.O.D.
Card Information:     Card Type: Number: Expiration:
Name on Credit Card: Signature: