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ORDER  FORM

This form is only for credit customers. If you want credit terms then please fill out the credit form and wait for office approval reply.
 

Urgent Delivery Business name & delivery Address:
 		 Contact Phone#:
Delivery ASVP E-mail:
Contact Person:
   Item#  Description

Quantity

  
Item 1
Item 2
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Item 4
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Item 6
Item 7
Item 8
Item 9
Item 10

                                                                                                       

 

Distributing  Appleton Rum, Cruzan Rum, Bacardi Rum, Whisky, Wine, Vodka, Gin, Cognec, Tequila, Champagne, Beer, Energy Drinks, Milk, Water and more...
 

Prime Distributors, #62B, Balashi, Santacruz, Aruba Dutch Caribbean  Ph: +297-585-4884 Fax: +297-585-5194

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