PRINT THIS FORM TO PLACE YOUR WASH-A-BACK ORDER
NAME ______________________________________________________________ STREET ADDRESS___________________________________________________ CITY________________________________________________________________ STATE____________________ZIP CODE __________ EMAIL ___________________________________________________________ |
| Mail Your Order to: THE WASH-A-BACK COMPANY P.O. Box 1656 Asheboro, NC 27204 |
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UNCONDITIONAL 30-DAY MONEY BACK GUARANTEE
We are sure that our Wash-A-Back will
please you, but if for any reason you are not completely satisfied, you may
return your Wash-A-Back within 30 days after receipt, undamaged to: The Wash-A-Back
Company and we'll refund your money, no questions asked
.
QTY
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DESCRIPTION
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PRICE
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UNIQUE WASH-A-BACK
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$14.95 PER UNIT
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Please add $4.50 for Shipping
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(NC Residents-Add 7% sales tax)
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TOTAL
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