Featured Products - page 8

DELIVERTO:
Name_ _____________________________________
Title________________________________________
County or City________________________________
Physical Address______________________________
_ __________________________________________
email_______________________________________
FaxNumber_ ________________________________
PhoneNumber_______________________________
METHODOFSHIPPING
Least Expensive
Must ReceiveBy “DateNeededBy” Below
_ ___________________________________
QUESTIONSORREQUESTS
_ __________________________________________
_ __________________________________________
_ __________________________________________
EasyOrder FaxForm
Fax to: 336.578.6597
INVOICETO:
Name_ _____________________________________
Title________________________________________
County or City________________________________
MailingAddress_______________________________
_ __________________________________________
email_______________________________________
FaxNumber_ ________________________________
PhoneNumber_______________________________
METHODOFPAYMENT
PurchaseOrder #: ____________________________
Bill the person listed in “INVOICETO:” section above.
ChargeTo: AMEX MasterCard Visa
Card#______________________________________
ExpirationDate:_ _____________________________
Credit CardBillingName (required):
_ __________________________________________
ItemCode
Color
Description
DateNeeded
By
Quantity Unit Price Extended
Price
CouponCode:
TOTAL:
ShippingAdditional
Returnsmust beauthorizedwithRMA# inadvance. Restocking feemayapply. Pricesandavailability subject to changewithout notice.
Store
Phone
800.232.1872
Fax
336.578.6597
INTAB
POBOX1160
MEBANENC 27302
1.800.232.1872
1.800.232.1872
1.800.232.1872
1.800.232.1872
PRESORTED
STANDARD
U.S.POSTAGE PAID
MEBANE,NC
PERMITNO.43
TM
Featured Products
1,2,3,4,5,6,7 8
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