Order form, Name (please print), Address – Avanti BD555 User Manual
Page 2: City, State, Daytime phone ( ), Enclosed is, Credit card number expiration date, Signature, Please make checks payable to: avanti products
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ORDER FORM
Avanti Products, P.O. Box 520604, Miami Florida 33152
For your convenience, you may use a major credit card (Master Card, or Visa) to order accessories over the phone by calling (800) 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
SH-1
2 SHELVES
9.95
CS-2
2 CASTERS
9.95
SUBTOTAL
SHIPPING AND HANDLING
$ 6.25
TOTAL
$
STATE
ZIP
ACCESSORIES SUBJECT TO AVAILABILITY
DAYTIME PHONE (
)____
ENCLOSED IS
$
IJcHECK pMONEY ORDER [J
m
ASTER CARD []viSA
CREDIT CARD NUMBER
EXPIRATION DATE
NAME
(AS IT APPEARS ON CREDIT 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.