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Order form, Please make checks payable to: avanti products – Avanti WC1000 User Manual

Page 2

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ORDER FORM

Avantj Products, P.O. Box 520604, Miami Fiorida 33152

For your convenience, you may use a major credit card (Master Card, or Visa) to order accessories over the phone by calling (000) 220-5570.

To order by mail, please fill out the following form and send it in with your payment (check, money order or credit card) using the above address.

NAME (please print)

ADDRESS

CITY

Qty

Item

Description

Price

Total

WS-1

WOODEN

RACK

19.99

MR-1

METAL RACK

9.99

SUBTOTAL

SHIPPING AND HANDLING

$ 5.00

TOTAL $

STATE

ZIP

DAYTIME

PHONE

(

ENCLOSED IS

[jcHECK []

CHECK !

I

mo

NEY

ORDER [^MASTERCARD

1

|VISA

D'

CREDIT

CARD

NUMBER

EXPIRATION DATE

NAME (AS ft APPEARS ON CREDfi CARD)

SIGNATURE

(OF CREDIT CARD HOLDER)

PLEASE MAKE CHECKS PAYABLE TO: AVANTI PRODUCTS

Avanti has a policy of continuous improvement on its products and reserves the right to change materials and specifications without notice.

Pik«t tnd

ot №•<»• mt iub}«ct to chang* writhotri notfca.