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PRINT FORM AND FAX — PLEASE PRINT WHEN FILLING IN FORM 24 Hour Fax: |
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BILL TO:
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NAME:
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| ADDRESS: |
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CITY/STATE/ZIP:
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DAYTIME PHONE / FAX:
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EMAIL:
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| SHIP TO: (If different than ordered by) |
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NAME:
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ADDRESS:
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CITY/STATE/ZIP:
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PHONE:
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TOTAL PRICE |
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Method of Payment
• Visa • MasterCard • Discover • American Express • Personal Check Expiration Date
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Shipping Charges
Orders within the Continental US: Standard Ground Service - Based on Merchandise Total ONLY: $0.00-$50.00 — $5.95
$50.01-$100.00 — $7.95
$100.01-$200.00 — $9.95
$201.00-$300.00 — $11.95
$300.01-$400.00 — $13.95
$400.01-$500.00 — $15.95
Over $500.00 —
FREE
Next Business Day add $15.00 to Shipping Cost
2-Business Day add
$10.00 to Shipping Cost
3-Business Day add $5.00 to Shipping Cost
Air* shipment within USA; Alaska & Hawaii included
You must provide us with a phone or FAX number before we can ship your order.
Accepted Methods of Payment
Credit Cards: Visa, Mastercard, Discover, American Express,
Personal Check*
Sorry, no COD’s *If paying with a personal check, please allow ten days from our receipt of check to date of shipment from our warehouse. Check must clear bank before order is processed. Name, address, and account number must be imprinted on check; no counter checks accepted. |