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K-SURPLUS
- ORDER FORM
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Please
Print Out Order Form - Fill It Out - Fax
It To - 619.474.3521
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| Sold
To: |
Ship
To: |
| Attn: |
Attn: |
| Address: |
Address: |
| City: |
State: |
Zip: |
City: |
| Daytime
Phone: |
State:
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Zip: |
| P.O.
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Ship
Via: |
FAX:
619.474.3521
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| E-Mail: |
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Quantity
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Part
No.
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Description
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Unit
Cost
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Total
Price
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| Payment: |
Ship
Via: |
| _____
MC |
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_____
UPS |
| _____
VISA |
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_____FREIGHT
LINE |
| _____
C.O.D. |
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| _____
CERTIFIED CHECK |
_____
OTHER
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| Charge#
__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ |
| Exp.
Date: __ __ - __ __ |
| PRINT
Card Holder's Name: __________________________________ |
| Signature:
_________________________________________________ |
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Sub-Total
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Shipping
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Handling
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7.50%
CA tax
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TOTAL
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Questions?
E-Mail
K-Surplus!
Copyright
© K-Surplus Sales Inc.2001 -All Rights Reserved
Webdesign
by CreativeInspirations.Net
1403
Cleveland Ave. National City, Ca. 91950
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