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Order Form
You can also use this form to place your order without using our online shopping cart.
Simply fill up this form, print and fax it over to .
We will contact you within 24 hours after we receive this form or you can call us at .
Contact Information
Full Name:
Telephone Number:
E-Mail Address:
City, State and Zip:
Shipping Information  (leave blank if same as above)
Full Name:
City, State and Zip:
Order Information
Quantity    Product Model/Description    Price    Total
Shipping Method: USPS 2-3 Days Priority Mail USPS Express UPS
CA Sales Tax (8.75%):   
Shipping Rate:   
Shipping Insurance:   
Total Due:   
Name on Credit Card:
Credit Card Type:
Credit Card Number: Expiration Date:
Prices subject to change without notice.
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