ORDER FORM
Please print this order form then send or fax it to us.
Bill To: Ship To:
   
   
   
Ordered by: Tax ID#
Tel# Fax#

#
Quantity
Item#
Description
Unit Price$
Total
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2.
         
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9.
         
10
         
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12.
         
Subtotal:
 
Freight:
 
Misc. Bal.
 
Credit Card information:
Due:

 

 



We accept Visa, Master Card, American Express and Discover.
We accept checks & m.o. for prepaid orders.
All orders not prepaid will be shipped cod cash or certified check.
All claims must be made within 7 days of delivery.
All returns subject to 15% restocking fee, unless item is being replaced.