ORDER FORM
FOR Rechargeable Batteries
Price per Set (includes shipping and handling $10.00)
Please send a MONEY ORDER only (no cash or personal checks) , payable to Wachsmuth & Krogmann Inc. to the following address:
Wachsmuth & Krogmann Inc,
123 Sivert Court
Bensenville, IL 60106
Kindly fill in your information below and send together with your
Money Order
Name |
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Street |
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City |
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State |
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ZIP |
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Date |
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Quantity of Battery | Battery @ $ 10.00 |
Total amount | $ |
13
