My Family Shops U.S.A.

                                             Purchase Order Form

My FamilyShopsU.S.A.
4696 Fisherman's Cove
Montclair Community
Suite # 1000
Dumfries, VA 22025-1021 

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   Item  Description                        Unit Price      Quantity          Amount 
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                                                                                    Subtotal
                                                                      Shipping Charge:
                                                                        State Sales Tax
                                                                          (If Applicable)
                                                                                         Total                                            
        
Purchase Date
Delivery Options
Invoice Notes  
WE ACCEPT ALL MAJOR CREDIT CARDS & PERSONAL CHECKS
MAKE CHECKS OR MONEY ORDERS PAYABLE TO "My Family Shops U.S.A."
4696 Fisherman's Cove, Suite # 1000, Dumfries, VA 22025
ALLOW 10 DAYS FOR PERSONAL CHECKS TO CLEAR 

FREE SHIPPING!**FREE SHIPPING!**FREE SHIPPING!
DOMESTIC ORDER**PURCHASE ORDER Up To $49.99 Costs $9.50.
DOMESTIC ORDER**PURCHASE ORDER OF $50.00 & UP FREE!
INTERNATIONAL ORDER**PURCHASE ORDER OF $150.00 & UP.

Note: Send This Purchase Order Form With Your Check.
Keep Your Check Payment & Money Order Records.
Your Contact Or Home Phone Number.
Your eMail Address.
Other Important Information.