Micro-Transmission
Line System - Order Form
Warren
Gregoire and Associates
For your security web orders are not available, yet.
However, you may call us toll-free, 1-800-634-0094
(USA and Canada) to place your order.
For all other countries, call 510-633-9353.
You may print the following order form and fax it to
510-633-9355,
or mail it to our office at 1933 Davis Street, Suite 276,
San Leandro, CA 94577, USA.
| ITEM |
QUANTITY |
PRICE EACH |
TOTAL |
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| CALIFORNIA
RESIDENTS ADD 8.25% SALES TAX |
| SHIPPING
& HANDLING (SEE BELOW) |
| ENCLOSE
CREDIT CARD CHARGE, CHECK/MONEY ORDER FOR TOTAL |
MICRO TRANSMISSION LINE
SYSTEM QUANTITY DISCOUNT
AND SHIPPING AND HANDLING CHART |
QUANTITY
1
2 - 3
4 - 7
8 - 15
16+
WHILE SUPPLIES LAST |
UNIT PRICE
$19.95*
$14.95*
$10.95*
$ 7.95*
$ 6.95*
PER UNIT |
UNITED STATES
$ 6.50
$ 8.50
$10.50
$14.50
$21.50
GROUND SERVICE |
CREDIT CARD ORDER
INFORMATION
________ VISA
________ MASTERCARD ________AMEX ________
DISCOVER
________________________________________________________________________
CREDIT CARD NUMBER AND EXPIRATION DATE
________________________________________________________________________
CARDHOLDER'S SIGNATURE
|
SHIP TO INFORMATION
NAME
________________________________________________________________
ADDRESS
_____________________________________________________________
______________________________________________________________________
______________________________________________________________________
APARTMENT/SUITE NUMBER
______________________________________________
CITY
_________________________________________________________________
STATE/PROVINCE
_______________________________________________________
ZIP/POSTAL CODE
______________________________________________________
COUNTRY
_____________________________________________________________
DAYTIME TELEPHONE NUMBER (REQUIRED)
( __________ )
_________________________________________________________
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QUESTIONS? NOW CALL TOLL-FREE 1-800-634-0094
Specifications, prices and availability
subject to change without notice.
Copyright 2005 Warren Gregoire and Associates LLC
All Rights Reserved
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WGA
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