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Mystery Faucet
1443 Osnats Point
San Antonio, TX 78258
(210) 545-2383 -  FAX (210) 494-8319
e-mail: mysteryfaucet@sbcglobal.net
website: www.mysteryfaucet.com

ORDER FORM

Quantity:
_________	GIANT Mystery Faucet Display, complete to include new barrel.		*Price.................................. **Shipping & Handling..	$1150.00 115.00
_________	MIDSIZE Mystery Faucet Display, complete (Mid-Mys).		*Price.................................. **Shipping & Handling..	$550.00 60.00
_________	MIDSIZE Mystery Bottled Water Display, less 5 gallon dispensing bottle.		*Price.................................. **Shipping & Handling..	$550.00 60.00
_________	Combination MIDSIZE Mystery Faucet & Mystery Bottled Water Display.		*Price.................................. **Shipping & Handling..	$615.00 65.00
_________	Retrofit a MIDSIZE Mystery Faucet Display to a Bottled Water Display.		*Price.................................. **Shipping & Handling..	$ 75.00 20.00
TERMS:	F.O.B. SAN ANTONIO, TEXAS  [U.S. DOLLARS] Check with order, or VISA/MasterCard; All prices subject to change; Shipment 2 to 4 weeks **Texas Customers add 8.25% sales tax **Contiguous USA states only.  All other destinations quoted on request. ** [  ]     Check enclosed     $_______________ [  ]     VISA          [  ]     MasterCard      Expiration Date __________ C.V.V. Code [   ] [   ] [   ] [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ] Account Number
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