Beverly Hill Liquidators.com

Nine Years of Service As Rapid Liquidators For Companies Nationwide

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Order Form

Product Item #:	Product Description:	Price:	Quantity:	Total:
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		$______.___	x ____ =	$______.___
		Total:		$______.___
		Add 15% Shipping:		$______.___
		CA Residents Add 8.25% Sales Tax:		$______.___
		Grand Total:		$______.___

Name: _____________________________________________ Address: ___________________________________________ City: ___________________ State: ____ Zip Code: _________ Telephone #: ________________________________________

Make Check& Money Orders Payable To: Herman G. Maestas & Mail To: H & G COMPANY ATTN: HERMAN G. MAESTAS 264 S La Cienega Blvd. #1220 Bevevely Hills, CA 90211