| We DO NOT have online ordering - this is to
protect your security. Call toll free 877-839-6468 or FAX this page to
254-694-7034 |
| Texas Silver Dollars,
$34.95 each |
| Quantity |
Coin |
Quantity |
Coin |
Quantity |
Coin |
| __________ |
2000 |
__________ |
2004 |
__________ |
2008 |
| __________ |
2001 |
__________ |
2005 |
__________ |
2009 |
| __________ |
2002 |
__________ |
2006 |
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| __________ |
2003 |
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2007 |
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| __________ 2000-2009
Complete Set of Dollars, 10 coins ($319.95) |
| __________ Willie Nelson Commemorative, $50
each. |
| Texas Dimes, $22.95 each |
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Dragonfly |
__________ |
Horned Toad |
__________ |
Quail |
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Humming Bird |
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Dimes Complete Set ($85.95) |
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| Coin Accessories |
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Any dollar in rope bezel or diamond bezel is $56.95
Any dime in rope bezel or diamond bezel is $38.95 |
| Mercantile Items |
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| Shipping Costs |
Order Amount, $ |
Shipping Cost, $ |
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up to $25 |
$2.95 |
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$25 to $49 |
$3.95 |
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$49-$75 |
$5.95 |
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$75-$100 |
$6.95 |
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over $150 |
$8.95 |
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| ORDER TOTALS |
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| Items |
__________ |
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My phone number |
(____)________________ |
| Coins |
__________ |
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Credit Card Number |
_____________________ |
| Accessories |
__________ |
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Credit Card Type (Circle One) |
VISA MC
AMEX |
| Mercantile |
__________ |
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Expiration Date: |
_____Month_______Year |
| Shipping |
__________ |
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My Shipping Address |
_____________________ |
| Sales Tax (Texas Residents Only) |
__________ |
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| TOTAL |
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| Where did you learn about us? |
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| THANKS FOR YOUR ORDER!! |
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