Reel 3-D E-Mail/FAX Order Form |
Name: | |||
Company: | |||
Address: | |||
City: | State: | ||
ZIP/Postcode: | Country: | ||
Daytime Phone: (____) | |||
Fax: (____) | E-Mail: |
Qty. |
|
Description of Item | Shipping
Weight |
Price
Each |
Sub-Total |
TOTAL SHIPPING WEIGHT FOR ALL ITEMS | lbs. | ||||
USA
Orders: UPS (Regions
A-D) or US Mail (Region
E) - and pay correct amount
Foreign Orders Indicate Sea Mail or Air Mail - and pay correct amount |
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CHARGE
MY CREDIT CARD:
VISA MasterCard American Express Discover JCB
Signature X ______________________________ |
Total Amount
for
Items Ordered |
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Calif. Deliveries
Only -
Add 8.25% Sales Tax |
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Shipping
& Handling
(Refer to Chart) |
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Total Amount Enclosed | $ |
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