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Enclosed is: $__________ as payment in full for ____________ units.
Name:_______________________ Address:____________________________ City:________________________ State:_____________________________ Country:_____________________ Zip Code:__________________________ Email:____________________________________Tele/fax:(____)__________ (check 1 please) visa__ m/c__ am.exp__ or (m/c-visa) debit card___ + add 3% cc process Account # :___________ / __________ / __________ / __________ Name on Card:_______________________ Date of Exp.: __________ Card Holder's signature : ___________________________________ Today's date: _______________________ |
Call (307) 856-5484 to place your order by phone during our office hours & current time, Monday thru Friday (8am to 5pm / M.S.T.), or download & fax your order in at: (208) 692-3632. Click here for more information on system 48 plus. Purchase online securely single cans here, or multi-can purchases here. Purchase online securely by the case lot here. Please email me purchase order (formatted in "microsoft word 97' programming") here and we will try answer additional questions forwarded to our "customer service". |