ORDER FORM (Please Print)
Bill to: (mailing address) | Customer Number (from back cover) |
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Ship to: | Same address |
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| This is a gift order | ( | ) |
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| Qty | Item # |
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| Description |
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| Each | Total | ||||
Order Information: |
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| Ship as items are available, or |
| Ship order complete |
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| Subtotal |
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| If shipping to Calif., add Sales Tax @ 7.25% |
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| (See other side for additional Shipping Information) |
| Shipping Charges |
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| Yes, please keep me on your mail list. |
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| Total |
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We do not release your information to anyone without your OK.
Please help and let us know w ere y u heard about us: |
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| Radio |
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| Show, host or station? |
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| Web |
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| Magazine / Other / Friend |
| Which one? |
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| Please do not staple, tape or paper clip your order form. Also, please DO NOT send cash. |
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| Method of Payment: |
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| Check |
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| Money Order |
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| DISC / MC / VISA |
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| Card Number | / |
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| Exp. Date | / |
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| Signature |
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| Mail to: C. CRANE CO. INC., 1001 MAIN ST, FORTUNA, CA | |||||||||||||||||||||
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| For Assistance: |
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| Phone: | #19F |