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First Name ^*

Company

* Required Fields Last Name ^*

Email Address ^*

Address 1 ^*

City ^*

Zip/Postal Code ^*

Telephone ^*

State/Province ^*

Country ^*

Fax

Product	Total
Challenge Battery Hammer Drill	$190.00
Power X Change Battery - 3.0 mAh	$34.00
Percussion Hammer Drill	$87.00
Subtotal	$87.00
Shipping	Free Shipping Flat Rate: $10.00
Total	$197.00

Free Shipping

Flat Rate: $10.00

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GRAND TOTAL:	$197.00

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