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Oyate
Order Form

2702 Mathews St., Berkeley, California 94702
(510) 848-6700 • fax (510) 848-4815
oyate@oyate.org
Date: Purchase Order No:
Bill to: Ship to:
Name: Name:
Address: Address:
City, State, Zip: City, State, Zip:
Phone: Phone:
Quantity
Title
Price
Total
       
       
       
       
       
       
       
       
       
       
       
       
       
subtotal
  
8.75% tax CA only
 

Shipping and handling: 10%

 
Total
  
Credit Card Type: [ ] Mastercard     [ ] Visa
Credit Card Number: Exp. Date:
Cardholder’s name (as shown on card):
Cardholder’s Signature
[ ] Please send me a print catalog
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