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230
E. Rowland Street
Covina,
CA 91723
Phone:
626-915-0888 or 866-339-5060
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Print
out this page, fill in your Name, Address, Phone Number, Items being
ordered, Shipping, Sales Tax (CA residents), and credit card information,
and FAX to 626-915-0883.
Today's Date:
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BILLING ADDRESS
As Appears On Your Credit Card:
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SHIP
TO:
(Must be a street address; we cannot ship to P. O. boxes)
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| Daytime
Phone in
case we have a question about your order (Include Area Code): |
| Credit Card
Number: |
| Expiration
Date Month and Year: |
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Quantity
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Description
and Model Number
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Price
Each
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Total
Price
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SHIPPING
& HANDLING CHART
- Subtotal
up to $25.00 . . . . Add $6.95
- $25.01
to $45.00 . . . . . . . Add $8.95
- $45.01
to $65.00 . . . . . . . Add $10.95
- $65.01
to $85.00 . . . . . . . Add $12.95
- $85.01
to $100.00 . . . . . . Add $14.95
- $100.01
to $150.00 . . . . . Add $16.95
- $150.01
to $200.00 . . . . . Add $18.95
- $200.01
to $500.00. . . . . .Add $19.95
- $500.01
to $700.00 . . . . . Add $29.95
- $700.01
to $900.00 . . . . . Add $39.95
- $900.01
to $1,200.00 . . . .Add $49.95
- $1,200.01
to $2,000.00. . .Add $59.95
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- Call for information on Express Shipping
- Allow
three to four weeks for delivery.
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Merchandise
Subtotal
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Shipping
& Handling (See Chart)
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Sales
Tax (CA residents)
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TOTAL
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Thank
you for your order!
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