Mail or Fax Order Form

SunIce Off /ATE  Co. Date:_____________
2233 W. Division Fax orders to: 817-861-0169
Arlington, Texas 76012, USA Most orders shipped By UPS / Ground 

                   Ship To:
                   _________________________________________NAME ( First, Middle, Last )
                  _________________________________________SHIP TO STREET ADDRESS
                  _________________________________________ADDRESS
                  ____________________________CITY__________STATE______________ZIP
                  __(__________)____________________________Day time Phone Number

Order Code # Name of Item. Item Qty. Price per Item. Total price.
__________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Sub Total

______$_________

SALES TAX 7.75%  Texas residents only

_______________

Shipping and Handling = $9.95 UPS/Ground  (Estimate USA Only)
US Post,UPS, FED Express and International Shipping, Handling  and Insurance are also available!

             $9.95
ALLOW  24-48 HRS FOR DELIVERY -
PERSONAL CHECK, MONEY ORDERS, CASHIERS CHECK ACCEPTABLE

ALLOW  24-48 HRS FOR DELIVERY -
WITH VISA, MASTER CREDIT  OR AMERICAN EXPRESS CARD

 TOTAL
 _______________
Write Credit Card Number In Boxes :Following
Exp. Date _____/____
Print Name as on Credit Card:______________________________
By checking this check box,  I declare the above Info. is true and correct.  I understand that credit card  fraud is a felony.
Signature:__________________________________________
Is the ship to address above the same as the credit card billing address? If not please fill in below.
Address___________________________________________
City______________________State_____Zip_____________

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