Order Form for ABS
Door Viewer and Door Scope Metal
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Simply print this form out, complete, and
either fax or mail it to the address below
(Please PRINT all information CLEARLY)
ABS Plastic ___ Door Scope
2-3/8"___ (check one)
Qty: _____ Color: _____
Gold, White, Brown, Black, Silver and Charcoal Dark Grey for ABS plastic.
Gold and Black for metal 2-3/8".
Hole Saw Qty. _____
For
Personal use _____Or for Business_____
Name: ______________________________
Address: ____________________________
City:______________________
State: _____
Zip Code: ________
E-mail: ______________________________ Phone: ___________
Signature:___________________________
We
accept Personal Check, Money Order or Cashiers Check.
Also major credit cards: Visa, Master Card, Discover/Novus and American Express Card. Please make checks
payable to: Image Wonders Enterprise.
Account
number: _____________________________________ Exp. date: ______
Credit Card CVV# ____ enter
security code located on the back of the card. 3
digits for major credit cards and 4 digits for American Express
Fax
or Mail this Form & Checks to:
Fax it to: (US and International)
(858) 484-6353 or (858) 513-1776
Voice
Toll Free: 1(877) 966-6473 or (858) 382-5857
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Copyright © 1997-2008 by Image Wonders
Enterprises. All rights
reserved
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