The Canon Ball
8950 W.  Olympic Blvd.  #199
Beverly Hills, CA 90211

                       Order Form

[    ]  Money Order / Cashiers Check
[    ]  Personal Check
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Sub Total $ :
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CA Sales Tax = 8.25% :
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Shipping :
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Total $ :
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Shipping Address
Please print clearly
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Name:
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Address:
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City:                            State:       Zip:
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Email Address:
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Additional Notes:
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