| Home > Printable Order Form Printable Order Form
Printable form for mail, FAX, or phone.
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Pomegranate Communications, Inc.
775A Southpoint Blvd., Petaluma, CA 94954
800 227-1428, FAX 707 782-9810 |
| Billing Information
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Shipping Address (if different)
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Name
____________________________________
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Name
_____________________________________
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Address
____________________________________
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Address
_____________________________________
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City
State
Zip
____________________________________ |
City
State
Zip
_____________________________________
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Phone
____________________________________
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Phone
_____________________________________
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Email
____________________________________
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Email
_____________________________________
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| Description
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Item Number
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Qty
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Unit Price
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Total
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Total:
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| Shipping:
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| 8% tax in CA:
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| Grand Total:
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Shipping Charges for Ground/Surface Transportation Please call us for air shipping rates (USA only).
| Order Total |
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To USA |
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Order Total |
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To Canada |
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Order Total |
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International*
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| up to $9.99
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add $2.95
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up to $14.99
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add $4.80
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up to $20.99
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add $15.00
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| $10.00-$14.99
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add $3.95
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$15-34.99
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add $14.40
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$21-35.99
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add $20.00
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| $15.00-$19.99
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add $4.95
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$35-64.99
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add $20.99
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$36-50.99
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add $25.00
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| $20.00-$34.99
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add $6.95
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$65-99.99
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add $25.99
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$51-64.99
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add $30.00
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| $35.00-$49.99
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add $8.95
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$100-149.99
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add $31.99
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$65-74.99
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add $45.00
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| $50.00-$64.99
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add $10.95
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$150-199.99
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add $36.99
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Over $75
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Contact Us
For Pricing
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| $65.00-$74.99
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add $12.95
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$200 and over
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Free!
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| $75 and up
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Free!
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* International shipping available to major countries including: the UK, Europe, New Zealand, Australia, Asia. International rates are subject to price adjustment; if necessary we will contact you.
Method of Payment ___ Check or money order ___ American Express VISA Mastercard Discover
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Card # _____________________________
Expiration (MM/YY) __________
Signature ___________________________
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Card Verification Number __________
(The last 3 digits on the signature panel on the back of the card. Not required for American Express.)
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Back to Pomegranate.com.
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