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Manual Order Form
(Print this form to mail, email or fax,
or to make notes for your online or telephone order.)
NOTE: Our secure on-line
order form is encrypted and secure. Normal email is not. For your protection, please
use the secure on-line form when sending a credit card number over the internet.
View the Shipping Costs Table
Key to Abbreviations
| Ordering/Shipping Information |
| Email Address |
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| Name |
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| Street Address |
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| City/State/Zip Code |
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| Province/Country/Postal Code |
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| Daytime Phone |
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| Credit Card Information
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Circle One: Visa / Discover / Master Card
Card Number: __________________________
Card Expiration Date: ____________________ |
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Roundup your best deal Today!
(Include an alternative
in case an item you order is out of stock.) |
Quantity
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Catalog Number
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Description (Please include brief product
descriptions with part numbers to expedite your order and to insure the accuracy of your order.)
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Unit Price
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Total
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Sub-Total |
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Georgia Residents Add 7% Sales Tax |
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Shipping
Shipping Costs Table
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TOTAL
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Shipping Instructions Please check the appropriate box. Note: Postage will be billed on each separate shipment. |
| Ship available kits now and ship new releases and out-of stock items as they become available. |
|
| Send a shipment each time _____ of my back-ordered items become available. (How many items do you want as a minimum shipment?) |
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| Ship available kits now and cancel new releases not yet in stock and out-of-stock items I've ordered. |
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| Hold my entire order until all new releases and out-of-stock items are available. (Maximum three (3) months.) |
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Other:
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