You can order with your credit card by phone (619)588-7141, fax (619)588-7149, or mail. To order by fax or mail, print the order form on your printer. Please complete all the information below for the items you select from this web site. Please print this form first before filling it out. Thank you.
Ship to:
Name:____________________________________________________
Address:________________________________ Number:__________
City:___________________ State:____________ Zip:____________
Credit Card
Type: MC ( ) Visa
( ) Discover ( )
Number:_______________________________
Expiration
Date:___/___/___
Signature:_____________________________________
Print
Your Name: ___________________________________________
E-mail Address:
_____________________________________________
Phone: (_____)
_____-_________ Fax: (_____) _____-_________
(in case we have to call you to confirm your order, thanks!)
Please fill in the order form below (after you have printed the form).
| Your Order | |||||
|---|---|---|---|---|---|
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Item |
Description |
Quantity |
Unit Price |
Ext. Price |
Total |