Number Stamp Order Form RS-AL
Print this form , Fill it out and FAX or Mail it to us.
Your Info. 
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Name .......................................................................
Company .................................................................
Address ....................................................................
City ........................................................................
State ............................. Zip Code .............................
Phone # ...................................................................
Fax # ......................................................................
E-mail .....................................................................
URL ........................................................................
Your P.O.# ....................................

Quantity: .........................

No. ... ..........................................................

Price ea. $ ........................

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Shipping UPS ground $ 12.50

All orders - any quantity
State Tax - California only 8.25%

Special Instructions & Notes

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 ...................