Order Form - 6 & 7 WHEEL DELUX nm-ac
Print this form , Fill it out and FAX or Mail it to us.
Your Info. 
.
Name .......................................................................
Company .................................................................
Address ....................................................................
City ........................................................................
State ............................. Zip Code .............................
Phone # ...................................................................
Fax # ......................................................................
E-mail .....................................................................
URL ........................................................................
Your P.O.# ....................................

MODEL #
QUANTITY
PRICE each
316
317
732
733
18
18/7
19
19/7
318
319
732/7
    
6A
    
6K
    
6S
    
7A
    
7K
    
7S
    

TOTAL
PRICE
State Tax 8.25%
Calif. only

UPS Shipping
all orders
$ 8.50
GRAND
TOTAL
  

NOTICE:

We do not always have all models in stock
& it may take 5-7 working days to ship.


IF you need a model sooner
Please call 626-333-2450
to check availability.

Advance Payment Required
No Returns Allowed on Custom Products.
25% Restocking Charge on Returned Stock Items.

...Method of Payment.............For Safety, Don't send credit card details over the Internet.

Master Card............ Visa............ American Expres......... Discover....... CHECK By Mail ............

Credit Card #... .... ......... .... .... .... ................... .... .... .... .....Expiration ...... / .........Billing ZipCode ...................

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