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The policy of Lestz & Company is to sell only to
qualified wholesale customers.
To qualify as a wholesale customer, please fill in the required information, print this page and mail it to: 436 - 438 W James St.; Box 4453; Lancaster, PA 17604 - or fax it to: 717 - 392 - 5416. |
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| Tax Exempt #: | E-Mail Address: | |
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| Company Name: | Contact Name: | |
| Address: | Fax #: Phone #: | |
| City: | State: Zip: | |
| Company Name: | Contact Name: | |
| Address: | Fax #: Phone #: | |
| City: | State: Zip: | |