QFT Order Form

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Name:
Street:
City:
State: Zip: Phone:

Personal/Business Check Money Order

Please use the Prices page to figure amount to include:

Discounts
Deduct 5% from the retail price for ordering 2 to 5 mats.
Deduct 10% from the retail price for ordering 6 to 10 mats.
Deduct 15% from the retail price for ordering over 10 mats.

Please print this form and send along with check or money order to:

Quality Flat Tires
11904 S.E. 228th Place
Kent, Washington 98031

Notes:


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