* Optional - Policy
Order Form - BEST PRINTING - - Set text size to medium or smaller.
|
PAINT Shaker |
| QUANTITY | |
| PRICE EACH | $79.95 |
| SUB TOTAL | |
| S & H | $12.00 (one unit) + $5.00 for each additional unit |
| TOTAL |
| Shipping Address: | NAME |
| STREET | |
| CITY STATE ZIP | |
| COUNTRY | |
| Phone Number * | (_______) _______ - _____________________ |
| E-Mail * | _________________@______________________ |
| Credit Card: | CARD NAME |
| VISA MasterCard | |
| # | | | | | - | | | | | - | | | | | - | | | | | | |
| Exp. | | | / | | | | |
| SIGNATURE |
|
Dyson Incorporated 6136 Hogan Drive N. Keizer OR 97303 USA Voice
& Fax
503 393-0426 or 503 463-6946 |
* Optional - Policy
