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| ORDER FORM | Print
this form, then: Mail (for orders paid by check) Fax or Mail (for credit card orders) |
| QUAN. | DESCRIPTION | PRICE | SHIPPING & HANDLING | ITEM TOTAL | ||||
| Garmin StreetPilot 2620 | ||||||||
| _____ | Complete GPS Navigation System | Call 1-888-290-5583 for best pricing | ||||||
| Landing Strips | ||||||||
| _____ | Set of two single tire strips | $21.50/set | $7.50 ($9.50 to CA, WA, OR, AZ, NV, UT) | _________ | ||||
| _____ | Set of four single tire strips | $32.95/set | $9.50 ($11.50 to CA, WA, OR, AZ, NV, UT) | _________ | ||||
| _____ |
Set of two single, two dual tire strips | $44.95/set | $11.50 ($13.50 to CA, WA, OR, AZ, NV, UT) | _________ |
| Cheeper Creeper | ||||||||
| _____ | Under-vehicle service surface | $19.95 | $8.50 ($10.50 to the West) | _________ |
| Oil Change Wonder | ||||||||
| _____ _____ |
Part
Number (Small) _________ Part Number (Large) _________ |
$42.95 $47.95 |
$7.00 $7.00 |
_________ _________ |
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| (See charts for Big Rigs, Cars/Trucks, Bikes) Charts are guides only. Please call for fitting. | ||||||||
| Quake Secure/Amazing Stuff | ||||||||
| _____ _____ _____ |
Single
Package (1 or 2) Set of Three Packages (Save $3.00) Set of Ten Packages (Save $12.50) |
$4.99/each $11.97/3 $37.40/10 |
_________ _________ _________ |
| SUBTOTAL: | _________ | |||||||
| In MN add 6.5% Sales Tax | _________ | |||||||
| TOTAL: | _________ |
| Billing/Shipping
Address Street Address Required for FedEx Delivery |
Credit Card Sales: | ||
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Name
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VISA/MC
#
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Street
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Exp.
Date
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City,
ST, Zip
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CCV
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______ (The extra number on the back.) |
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Phone
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Date
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| Required for credit card orders (only for order questions) |
Signature
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