| Albrea Enterprises Inc. - Order Form |
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| Contact Name: | | Ship To: | | Date of Order: | | | | |
| Bill To: | | | | Tax ID: | | | | |
| | | | | Sales Tax #: | | | | |
| | | Email: | | CC #: | | | | |
| | | | | | Phone Number: | | Exp Date: | CVC #: | | | | |
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| Enter quantity you would like to order, below in the blue squares. | | | | |
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| CRIB/TRAVEL/LAP BLANKET | Qty | Total | | | LARGE BLANKET | Qty | Total | | | KID COCOON | Qty | Total | | | | | |
| TB-CAMO | $270.00 | | $0 | | | LB-CAMO | $510.00 | | $0 | | | KC-CAMO | $430.00 | | $0 | | | | | |
| TB-CREAM | $260.00 | | $0 | | | LB-CREAM | $490.00 | | $0 | | | KC-CREAM | $410.00 | | $0 | | | | | |
| TB-BROWN | $260.00 | | $0 | | | LB-BROWN | $490.00 | | $0 | | | KC-BROWN | $410.00 | | $0 | | | | | |
| TB-GRAY | $250.00 | | $0 | | | LB-GRAY | $490.00 | | $0 | | | KC-GRAY | $410.00 | | $0 | | | | | |
| TB-LIGHTBLUE | $250.00 | | $0 | | | LB-LIGHTBLUE | $490.00 | | $0 | | | KC-LIGHTBLUE | $410.00 | | $0 | | | | | |
| TB-NAVY | $250.00 | | $0 | | | LB-NAVY | $490.00 | | $0 | | | KC-NAVY | $410.00 | | $0 | | | | | |
| TB-ORANGE | $250.00 | | $0 | | | LB-ORANGE | $490.00 | | $0 | | | KC-ORANGE | $410.00 | | $0 | | | | | |
| TB-PINK | $250.00 | | $0 | | | LB-PINK | $490.00 | | $0 | | | KC-PINK | $410.00 | | $0 | | | | | |
| TB-PURPLE | $250.00 | | $0 | | | LB-PURPLE | $490.00 | | $0 | | | KC-PURPLE | $410.00 | | $0 | | | | | |
| TB-RED | $250.00 | | $0 | | | LB-RED | $490.00 | | $0 | | | KC-RED | $410.00 | | $0 | | | | | |
| TB-TAN | $250.00 | | $0 | | | LB-TAN | $490.00 | | $0 | | | KC-TAN | $410.00 | | $0 | | | | | |
| TB-WHITE | $250.00 | | $0 | | | LB-WHITE | $490.00 | | $0 | | | KC-WHITE | $410.00 | | $0 | | | | | |
| TB-YELLOW | $250.00 | | $0 | $0.00 | | LB-YELLOW | $490.00 | | $0 | $0.00 | | KC-YELLOW | $410.00 | | $0 | $0.00 | | | | |
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| REGULAR BLANKET | Qty | Total | | | BABY COCOON | Qty | Total | | | ADULT COCOON | Qty | Total | | | | | |
| RB-CAMO | $430.00 | | $0 | | | BC-CAMO | $140.00 | | $0 | | | AC-CAMO | $510.00 | | $0 | | | | | |
| RB-CREAM | $410.00 | | $0 | | | BC-CREAM | $130.00 | | $0 | | | AC-CREAM | $490.00 | | $0 | | | | | |
| RB-BROWN | $410.00 | | $0 | | | BC-BROWN | $130.00 | | $0 | | | AC-BROWN | $490.00 | | $0 | | | | | |
| RB-GRAY | $410.00 | | $0 | | | BC-GRAY | $130.00 | | $0 | | | AC-GRAY | $490.00 | | $0 | | | | | |
| RB-LIGHTBLUE | $410.00 | | $0 | | | BC-LIGHTBLUE | $130.00 | | $0 | | | AC-LIGHTBLUE | $490.00 | | $0 | | | | | |
| RB-NAVY | $410.00 | | $0 | | | BC-NAVY | $130.00 | | $0 | | | AC-NAVY | $490.00 | | $0 | | | | | |
| RB-ORANGE | $410.00 | | $0 | | | BC-ORANGE | $130.00 | | $0 | | | AC-ORANGE | $490.00 | | $0 | | | | | |
| RB-PINK | $410.00 | | $0 | | | BC-PINK | $130.00 | | $0 | | | AC-PINK | $490.00 | | $0 | | | | | |
| RB-PURPLE | $410.00 | | $0 | | | BC-PURPLE | $130.00 | | $0 | | | AC-PURPLE | $490.00 | | $0 | | | | | |
| RB-RED | $410.00 | | $0 | | | BC-RED | $130.00 | | $0 | | | AC-RED | $490.00 | | $0 | | | | | |
| RB-TAN | $410.00 | | $0 | | | BC-TAN | $130.00 | | $0 | | | AC-TAN | $490.00 | | $0 | | | | | |
| RB-WHITE | $410.00 | | $0 | | | BC-WHITE | $130.00 | | $0 | | | AC-WHITE | $490.00 | | $0 | | | | | |
| RB-YELLOW | $410.00 | | $0 | $0.00 | | BC-YELLOW | $130.00 | | $0 | $0.00 | | AC-YELLOW | $490.00 | | $0 | $0.00 | | | | |
| | | | | | | | | | | | | | | TOTAL | $0.00 | Discount % in decimal | | | |
| To correspond by mail: | total discount | $0.00 | | |
| Albrea Products | TOTAL PAYMENT DUE | $0.00 | | |
| 3479 Hidden Hills Loop | | | | |
| Cedar City, Utah 84720 | | | | |
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| (435) 590-8971 | | | | |
| albreaproducts@gmail.com | | | | |
| www.albrea.com | | | | |
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| We require payment before delivery. | | | | |
| If it is a custom or large order, you will pay 1/2 down when the order is placed, and the remaining balance before delivery. | | | | |
| Payment can be made by either credit card or check | | | | |
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