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Fax
Order Sheet
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Please fax this sheet at U.S. 925-937-3351
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Purchasing:
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Product Number
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Description
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Quantity
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Amount
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Subtotal
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Tax
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Shipping
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$12.00
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Total
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Note:
We would have to charge an extra international FedEx shipping charge for
oversea shipping.
Billing Information:
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Name
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Address
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City, State, Zip
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Country
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Phone Number
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Fax Number
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Shipping Information: (if the shipping is different from the billing.)
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Name
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Address
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City, State, Zip
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Country
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Credit Card Information:
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Card Holder Name
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Type of Card
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Card Number
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Expire Date
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Amount
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