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        Click here to return to the Home Page.

        Order Form

        sales@shrimatis.com
        2011 University Avenue
        Berkeley, CA 94704 USA

        Tel: (510) 548-6220
        Fax: (510) 548-1838
        Store Hrs: Mon to Sat 10 to 6pm / Closed Sunday

        Ship to Business address [    ] Residence [    ]

        Name:_______________________________________________
        Ship to:__________________________________________________

        ____________________________________________________

        Date:____/____/________

        Phone Residence:_(____)_____-_________

        Phone Work:_(____)_____-________


        Charge to Amex, Discover, M/C or Visa:  Card #: ______________________________________________ Exp.Date____/____

         Issuing Bank: ____________________________________   Customer email: _________________________________________

        If paying by an enclosed check, amount of check: US$_____.___      Credit card billing address if different from shipping address above:

        ________________________ ____________________ ____________________________ ________________________________

        After printing this form, click on the logo to return to Shrimati's Home Page.

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        California residents please add 8.75% Sales Tax

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        At Our Option for USA $7.50 Ground Shipping and Handling By USPS 1ST Class / UPS / Fedex
         USPS Media Mail Shipping $3.99 / Overseas Shipping from $7.00 Onwards

        $

        TOTAL

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