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BedsUp - Bed Elevating Insert ORDER PAGE
Date:________________ PLEASE PRINT Your Name:___________________________________________________ Ship to Address: _______________________________________________ City, State, Zip Code:____________________________________________ Telephone Number (for order processing): ____________________________ email address:__________________________ Payment Method: p Faxing Check p Mailing Check/M.O.
PLEASE MAKE CHECKS PAYABLE TO HOMEPLACE GROUP, INC.
TO PLACE YOUR ORDER, PLEASE MAIL THIS ORDER TO:
Homeplace Group, Inc. Wholesale To The Public Center P.O. Box 7106 High Point, NC 27264 Please email us if you have any questions. Free Shipping is for the 48 contiguous U.S. States only. Alaska, APO/FPO and Hawaii are extra.
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