<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> Phillip Roy, Inc. - Order Form
www.PhillipRoy.com      
 

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Order Form
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Phillip Roy, Inc., The Roy Building
13064 Indian Rocks Road
Largo, FL 33774


Phone: (800) 255-9085   (727) 593-2700    

FAX:  (727) 595-2685
Email:  info@PhillipRoy.com

Bill To:

 

Ship To:

 

P.O.#

 

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Catalog #

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Unit Price

Total

         
         
         
         

Add 10% for shipping, handling, & insurance  

 
TOTAL  

We accept Visa, MasterCard, American Express, Discover, and Purchase Order #'s

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Phillip Roy, Inc.
The Roy Building
13064 Indian Rocks Road
Largo, FL 33774

1-800-255-9085
Fax: 727-595-2685
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