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<table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <th class="c24pad"><img src="Assets/pix/pecan.gif" alt="Pecan" width="60" height="40" hspace="6" vspace="4" align="absmiddle"><big>O</big>rder <big>F</big>orm</th> </tr> <tr> <td class="textin" style="text-align:center"><hr size="1" noshade>Print, fill out, and mail to Sampson's, 101 Palfrey Street, Watertown MA 02472<hr size="1" noshade></td> </tr> </table> <div align="center"><font size="+1" face="Comic Sans MS, Arial, sans-serif"><br> Sampson's Nuts in Retail Packaging</font> </div> <table width="66%" border="0" align="center" cellpadding="4" cellspacing="3"> <tr> <td rowspan="8"><img src="Assets/pix/1x1.gif" width="10" height="1"></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Product</font></b></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Size</font></b></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Cost</font></b></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Quantity</font></b></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Subtotal</font></b></td> </tr> <tr> <td bgcolor="#FFCC99">Sweet & Spicy <br> Pecans </td> <td valign="bottom" bgcolor="#FFCC99">5 Oz. </td> <td align="right" valign="bottom" bgcolor="#FFCC99">$4.99 </td> <td bgcolor="#FFCC99" class="box"> </td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td bgcolor="#FFCC99">Hot N' Sassy <br> Peanuts</td> <td valign="bottom" bgcolor="#FFCC99">8 Oz.</td> <td align="right" valign="bottom" bgcolor="#FFCC99">$4.99 </td> <td bgcolor="#FFCC99" class="box"> </td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td valign="bottom" bgcolor="#FFCC99">Shipping</td> <td align="right" valign="bottom" bgcolor="#FFCC99">$3.75 </td> <td> </td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td colspan="5" align="right"><i>Free Shipping for Orders of 4 or More Units </i></td> </tr> <tr> <td> </td> <td> </td> <td bgcolor="#FFCC99"><font face="Arial, Helvetica, sans-serif"><b>TOTAL</b></font></td> <td colspan="2" bgcolor="#FFCC99" class="box"> </td> </tr> </table> <p> </p> <div> <div align="center"><font size="+1" face="Comic Sans MS, Arial, sans-serif">Sampson's Nuts in Bulk Packaging </font></div> </div> <table width="66%" align="center" cellpadding="4" cellspacing="3"> <tr> <td rowspan="8"><img src="Assets/pix/1x1.gif" width="10" height="1"></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Product</font></b></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Size</font></b></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Cost</font></b></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Quantity</font></b></td> <td><b><font size="-1" face="Arial, Helvetica, sans-serif">Subtotal</font></b></td> </tr> <tr> <td bgcolor="#FFCC99">Sweet & Spicy <br> Pecans </td> <td valign="bottom" bgcolor="#FFCC99">1 lb.</td> <td align="right" valign="bottom" bgcolor="#FFCC99">$10.00</td> <td bgcolor="#FFCC99" class="box"> </td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td bgcolor="#FFCC99">Hot N' Sassy <br> Peanuts</td> <td valign="bottom" bgcolor="#FFCC99">1 lb.</td> <td align="right" valign="bottom" bgcolor="#FFCC99">$7.50</td> <td bgcolor="#FFCC99" class="box"> </td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td valign="bottom" bgcolor="#FFCC99">Shipping</td> <td align="right" valign="bottom" bgcolor="#FFCC99">$3.75 </td> <td bgcolor="#FFFFFF"> </td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td colspan="5" align="right"><i>Free Shipping for Orders of 2 or More Lbs.</i></td> </tr> <tr> <td> </td> <td> </td> <td bgcolor="#FFCC99"><font face="Arial, Helvetica, sans-serif"><b>TOTAL</b></font></td> <td colspan="2" bgcolor="#FFCC99" class="box"> </td> </tr> </table> <p> </p> <table width="66%" border="0" align="center" cellpadding="0" cellspacing="10"> <tr> <td colspan="2">Please Make Check Out To <b>Mark Sampson</b> <br> Send To: Sampson's, 101 Palfrey St., Watertown, MA 02472 </td> </tr> <tr> <td width="20%">*Name: </td> <td width="80%" bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td>*Address 1: </td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td>*Address 2:</td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td>*Phone: </td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td>Fax: </td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td>*E-mail:</td> <td bgcolor="#FFCC99" class="slot"> </td> </tr> <tr> <td colspan="2"><img src="Assets/pix/tinystar.gif" width="12" height="12" hspace="4">Starred fields are required<br> <img src="Assets/pix/tinystar.gif" width="12" height="12" hspace="4">We will e-mail you confirmation of your order and send along current and new recipes to include Sampson's Nuts in. </td> </tr> </table>
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