Carbine PLUS 6850 manual Parts and Accessories Order Form, Credit Card or Money Order Only

Parts and Accessories Order Form

Credit Card or Money Order Only

(Sorry No Cash, C.O.D. or personal checks accepted) Call: (310) 884-7777 Fax: (310) 637-9542

Mail to: Magnadyne Corporation ATTN: Consumer Parts Sales P.O. Box 5365

Carson, CA 90749-5365

SHIP TO: (No P.O. Boxes)
LAST NAME		FIRST NAME				INITIAL
STREET ADDRESS
ADDITIONAL ADDRESS
ADDITIONAL ADDRESS
CITY			STATE		ZIP CODE
DAY TIME PHONE NUMBER
CREDIT CARD INFORMATION						VISA
						MC
CREDIT CARD N0.				EXPIRATION DATE
CARD HOLDER’S LAST NAME	FIRST NAME					INITIAL
STREET ADDRESS

CITY

PART #

	STATE	ZIP CODE
DESCRIPTION	QTY.	PRICE EACH	TOTAL

Shipping and Handling

Up to $20.00	$5.00
20.01 to 30.00	5.95
30.01 to 45.00	6.50
45.01 to 70.00	6.95
Over 70.01	7.95

Sales Subtotal = ________ . ______

California Residents Add Sales Tax = ________ . ______

Shipping and Handling (See Chart) = ________ . ______

TOTAL = ________ . ______

On regular orders please allow 4-5 weeks for delivery.

Please give a shipping address where this order may be delivered between the hours of 9 am and 5 pm weekdays. If UPS is unable to deliver, your order will be returned and additional shipping charges will be required.

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