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Send Orders To: Magnadyne Corporation
SHIP TO: (No P.O. Boxes)
LAST NAME
STREET ADDRESS (IF PAYING WITH A CREDIT CARD, YOUR BILLING ADDRESS IS REQUIRED)
CITY
DAY TIME PHONE NUMBER
CREDIT CARD INFORMATION:
CARD TYPE:
CARD NUMBER
NAME -
EXACTLY
Part #
MV-2000RM
Shipping and Handling
Subtotal + Tax
Up to $20.00
20.01 to 30.00
30.01 to 45.00
45.01 to 70.00
Over 70.01
On regular orders please allow 4-5 weeks for delivery. 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
22
Replacement Parts Order Form
ATTN: Consumer Parts Sales
P . O. Box 5365
Carson, CA 90749-5365
VISA
MASTER CARD
AS IT APPEARS
ON YOUR CREDIT CARD
Description
Remote Control
Add
$5.00
5.95
6.50
6.95
7.95
returned and additional shipping charges will be required.
We Accept Checks, Money Orders, Visa and Master Card
Make Checks Payable to: Magnadyne Corporation
FIRST NAME
STATE
ZIP CODE
EXP. MONTH
California Residents Add Sales Tax = ________ . ______
Shipping and Handling (See Chart) = ________ . ______
No C.O.D.'s
INITIAL
YEAR
Qty.
Price Each
$39.95
Subtotal = ________ . ______
TOTAL = ________ . ______
TOTAL
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