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FAX Orders:
(903) 383-7047
Quantity Item Price Sub Total
______AMVC-384.$ 51.00 $________
______..$________
______..$________
______..$________
* State Sales Tax if in Texas 8.25% $________
* * Shipping & Handling
$________
*

Sales to USA and CANADA only

 Total $________
NOTE: Extra shipping cost will apply to heavy or bulky items.
Print this form and mail or FAX it with your order to:
STORMWISE ®
PO Box 284
Yantis, Texas 75497 U.S.A.
Telephone: (903) 383-7047 FAX: (903) 383-7047