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Quantity
_______Ear-Rection Packages @ $1,200 = $_______
_______Replacement Stabalizers @ $75 = $________
................................. Shipping & Handling $________
................................. Ga residents add 7% $________
.....................................................TOTAL $_______
Ear-Rection Inc
1116 Liberty Expressway S.E.
ALBANY, Ga.31705
229-883-3800
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