Authorized
Parts Dealer
AB
DICK ~ ITEK
RYOBI ~ MULTI ~ TOKO
CRESTLINE ` BAUM ~ T51
FAX ORDER FORM
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If you need assistance identifying part numbers, please call our Parts
Department at 813-677-6642 or (863) 686-8744.
| GRAPHIC ORIENTED SERVICES, INC. | ||
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Billing Information |
Shipping
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Company Name: |
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Contact: |
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Address: |
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City, State, Zip: |
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Telephone: |
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Fax: |
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| Email Address: | ||
Equipment & Model # _______________________________________ Serial # _________________ (recommended)
| PARTS ORDER | |||
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Qty |
Part # |
Description |
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1 |
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Florida Sales Tax |
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1 |
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Shipping & Handling |
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Credit Card Information |
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We
accept Visa® and MasterCard© |
□ MasterCard © |
□ Visa © |
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Card
Number (16 digits) |
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- _______ - _______ - _______ |
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Card
Expiration Date |
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(MM/YY) |
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Cardholder's
Name |
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Company
Name on Card |
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Billing Address for Credit Card |
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Zip Code |
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3-digit Card Code Found on Signature line of Card |
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Cardholder's
Signature |
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Specify Requested Shipping |
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□ UPS Ground |
□ UPS 2nd Day-Blue Label |
□ UPS Next Day-Red Label |
Please fax this Order Form to our Parts Department at 813-677-3891 or 863-686-7278 E-Mail: graphicoriented@tampabay.rr.com