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Fax: You can
print this form and use it when browsing the web site, then fax to 203-270-7197 Quantities are limited to stock on hand. First come, first served.
Sorry, no backorders. Your order will be checked against available stock, and
you will be advised of the shipping charges and if any of your choices are
sold out. It is not our intention to make money on the shipping. You will be
charged actual shipping costs for the method you choose. CT Residents must add sales tax. |
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Bill To |
Ship To:
(if different than 'Bill To:') |
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Name
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Name |
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C/O
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C/O |
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Address
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Address |
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City
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City |
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State
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Zip
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State |
Zip |
Area Code/Phone
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Area Code/Phone |
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E-Mail Address
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Fax |
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Quantity |
Mfg |
Item Number |
Description |
Price Each |
Total |
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Subtotal |
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CT State residents add appropriate sales tax |
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Shipping / Handling |
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TBD |
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TOTAL |
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Please choose the
type of
payment you prefer |
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Cashiers
Check |
Thanks
for your order! Your Business is important to us. Shipping
Charges You will be quoted the actual
shipping charges for your order. Payment can be arranged after total is
determined. Please provide your e-mail address above. |
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Money
Order |
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Personal
Check (allow 7 days to clear) |
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Pay Pal |
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10 Day
exchange policy, must be new! No restocking charge on returns, but shipping
charges are non-refundable! No minimum order. Prices do not include shipping.
Not responsible for typographical errors |