Order Form

Please print the following order form, fill it out and send it to us via the address or fax number below. Or, call us at the number below if you prefer to place an order by telephone.

Customer Information

Name:
Street Address:
City:	State:	Zip:
Daytime Phone:	Fax:
Anticipated Use:

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Order Information

Quick-Mount Post Supports are available in black, and are easily painted.

Cost per unit: $4.75. Cost per case of 24 units: $ 114.

Each order has a set shipping and handling charge of $10.

Please rush to me:

$___ for ___ units at $4.75 each

$___ for ___ cases of 24 units each at $114 per case

$10 for shipping and handling

$____TOTAL

Note: Orders from outside the USA, please contact us before ordering to confirm shipping methods and additional charges.

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Payment Information

We offer three methods to pay for your order:

• Fax in with credit card information

• Print this page and mail in your order with a check or money order payable to Royal Devices, or your credit card information

• Call us at 1-989-356-1087 during regular business hours

Credit Card Payments:

Credit Card: __VISA, __MC or __Discover ( check one)	Card Number:
Exp. Date:	Full Name on Card:
Billing Address:

Orders are normally shipped within 48 hours of receipt. If you need rush delivery, please contact us as you order.

 

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