Feel uneasy about ordering over the Internet? - Simply print out this order form, fill it out, and mail it along with a certified bank check or money order. - Payment and mailing information are below. - Please use the shopping cart to calculate total payment amount with shipping and handling charges, but do not check out. - All payment must be in $USD, US funds, American dollars
Please print clearly |
Money Order form valid for US & Canada orders only | NJ
orders subject to 6% tax |
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Customer Name:
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Address1:
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Address2:
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| Qty |
Product name and Description |
Price | Total | |||
| SUBTOTAL: | ||||||
| [only NJ 6%] SALES TAX: | ||||||
| [USA only] Shipping&Handling: |
$ |
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| TOTAL AMOUNT: | $ | |||||
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* print another form if there is not enough space to complete your order on one form |
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Make money order payable to: |
TRAC Distribution Corp |
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Mail check and order form to: |
TRAC Distribution Corp. Attn: Order Processing Department 353 Third Avenue Box 106 New York, NY 10010 United States of America |
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[Company use only] | PAM ref. code :: 00MX |
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