Order Form

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Ordered Items

	#	ItemName	StockNo	Make	Model	Year	UnitPrice	Qty	Amount
							Subtotal:		$ 0
							Tax (0%):		$
							Total:		$0
							Subject to additional TAX

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Customer Details

Business Name:	For individual customer, leave this field blank.
Contact:	*		*		Male Female
	First Name	MI	Last Name	Age	Gender
Address:
Street:
City:		County:		email Add:
Zip code:		State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Fax:
Phone 1:	*	Phone 2:		Cell phone:

Delivery Address:
Street:	*
City:	*	County:	*	email Add:
Zip code:	*	State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *	Fax:
Phone 1:	*	Phone 2:

Notes:

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* = Required fields

Important:

All prices are FOB(Freight On Board), the freight expense are charge to the customer.

Office hours Mon - Fri, 8:00-5:00pm; Saturday 8:00 - 12:00pm; Close sundays and holidays