Print this form and Fax or mail to us
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Fax Order Form (785)-462-3411 |
Product Code | Quantity | Product Description............ | Price each | Total............. |
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Shipping and handling is $5.00 for the First item, and then $2.00 for each additifnal item.
Sub To tal__________________
Shipping & Handling__________
Pay this Amount_____________
Master Card |
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Visa |
. |
Discover |
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Card No. ____________________________ Exp Date ___/____/____
Your Signature ______________________________
Note: Print this form and Fax to us. We will ship immediately via UPS. Expect delivery in 7 to 10 days.
Your Name _____________________________
Address Street_____________________________________
City_________________________State _______Zip______
Phone No. _____________________________________ P>