A. NAME & STREET Address -UPS WILL NOT ship to PO Boxes! Name_______________________________________________________________ Company Name_______________________________________________________ Address_____________________________________________________________ City ________________________________________________________________ State / Zip ___________________________________________________________ Phone (very important) __________________________________ Fax _______________________________ Email _______________________________________________
B. Method of Payment
or
American Express
C. Choose Items
| Description of Items | Quantity | Price |
|---|---|---|
| 1._________________________________ | ________ | __________ |
| 2._________________________________ | ________ | __________ |
| 3._________________________________ | ________ | __________ |
| 4._________________________________ | ________ | __________ |
| 5._________________________________ | ________ | __________ |
| 6._________________________________ | ________ | __________ |
| Subtotal | $__________ | |
| Shipping (see Order Info Page) | $__________ | |
| Tax (CA Only) | $__________ | |
| Total | $__________ |
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