Order Form

Name ________________________________________________ Daytime Phone ______________ Address ________________________________________________ Fax or E-mail ______________ City ________________________________________________ State/Zip ______________

50% Deposit Required for COD - No Shipment to P.O. Boxes Minimum Order $20.00

QTY Description  Unit Price Total Price 1         2         3         4         5         6         7         8         9         10         Sub-Total   CA Sales Tax   Shipping & Handling     Total

All Items are subject to prior sale. Pre-payment requested by check, cashier's check, or money order in U.S. Funds. Open accounts are available with terms of net 10 days with Bank account number and trade references. California Retailers must include resale number. All returns are subject to a 20% restocking charge. Please Call For Inventory Stock Check