Internet Store Purchase Profile
Order Amount:
Purchase Date:
Order Info:
Product / ID#
Unit Cost
Tax
Quantity
Shipping
Hat 65456
$50.00
-
1
Gym Bag 878967
$100.00
Turtleneck 657849
Subtotal
$250.00
Total
First Name:
Michael
Last Name:
Kraycik
Address:
967 Penn Cr.
City:
King of Prussia
State:
PA
Zip Code:
19406
Phone (Home):
6107835627
Phone (Work):
6103316101
E-mail Address:
kraycik@zworkz.com
Date of Birth:
12/14/67
