Date _____________

Orders are best placed via telephone to (310) 478-0591 (Los Angeles, CA), or print this page and fax it to (310) 473-4038

Name ____________________     Tel#________________      Email________________

Sold-to Address ____________________________________

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Ship-to Address ____________________________________

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Additional options ________________________________________________

Shipment method  ( ) ground  ( ) 3-day ( )  2-day ( )  next-day

Shipping is normally Fed-X ground or UPS-gound but above options are available.  Shipping cost is determined by weight, ship method, insurance and distance.  Units are box-packaged with bubble-wrap and peanut foam as needed for full protection.   Delivery is normally from stock but can vary depending on unit.  Ask factory for details.  All orders are shipped FOB our plant in Los Angeles.

Payment method  ( )Visa   ( )MC   ( )Amex   ( ) COD   ( ) Net30  ( ) Prepay Ck

Card# ____________________________ Expiration date ______________

Cardholder address __________________________ Telephone# ________________