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Lily-Technology 12 Connecticut Avenue Middletown, RI 02842 USA |
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______ | x | $9.95 | = | $ _____ |
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______ | x | $14.95 | = | $ _____ |
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______ | x | $14.95 | = | $ _____ |
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______ | x | $___ | = | $ _____ |
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______ | x | $9.95 | = | $ _____ |
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______ | x | $ ___ | = | $ _____ |
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______ | x | $9.95 | = | $ _____ |
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Special Educational Discount
(Schools Only). See Table. |
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12 Connecticut Avenue Middletown, RI 02842, USA
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| Special | Number of Same Items | Discount on PARTIAL TOTAL Amount |
| Educational | 6-10 | 15 % |
| Discount: | 11-15 | 20 % |
| Schools only. | 16 or more | 25 % |
| Ship To: | Family Name: | ________________________ |
| Given Name: | ________________________ | |
| Company Name: (optional) | ________________________ | |
| Address: | ________________________ | |
| City: | ________________________ | |
| State / Province: | ________________________ | |
| Zone: | ________________________ | |
| Country: | ________________________ | |
| Telephone: (optional) | ________________________ | |
| Facsimile: (optional) | ________________________ | |
| e-mail address: | ________________________ |