Marksman M6A User Manual page 8

M6A-UM 3/8/05 3:45 PM
Credit Card or Money Order Only
(Sorry No Cash, C.O.D. or personal checks accepted)
SHIP TO: (No P.O. Boxes)
LAST NAME
STREET ADDRESS
ADDITIONAL ADDRESS
ADDITIONAL ADDRESS
CITY
DAY TIME PHONE NUMBER
CREDIT CARD INFORMATION
CREDIT CARD N0.
CARD HOLDER'S LAST NAME
STREET ADDRESS
CITY
PART #
Shipping and Handling
Up to $20.00 $5.00
20.01 to 30.00
30.01 to 45.00
45.01 to 70.00
Over 70.01
Please give a shipping address where this order may be delivered between the hours of 9 a.m. and 5 p.m. weekdays.
If UPS is unable to deliver, your order will be returned and additional shipping charges will be required.
© Copyright 2005 Magnadyne Corporation
Page 8
Parts and Accessories Order Form
DESCRIPTION
5.95
6.50
6.95
7.95
On regular orders please allow 4-5 weeks for delivery.
Mail to: Magnadyne Corporation
ATTN: Consumer Parts Sales
P.O. Box 5365
Carson, CA 90749-5365
FIRST NAME
STATE
EXPIRATION DATE
FIRST NAME
STATE ZIP CODE
QTY. PRICE EACH
Sales Subtotal = ________ . ______
California Residents Add Sales Tax = ________ . ______
Shipping and Handling (See Chart) = ________ . ______
TOTAL = ________ . ______
INITIAL
ZIP CODE
VISA
MC
INITIAL
TOTAL
M6A_UM 3-8-05 Rev. C