Product Order Form
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Today’s Date: |
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Customer Name: |
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Company Name: |
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Shipping Address: |
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City: |
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State: |
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Zip: |
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Phone: |
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eMail Address: |
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Contractors Advantage
|
Quantity |
Product
Name |
Cost
Each |
Total
Price |
|
|
Flat
Rate - HVAC |
$
699.00 |
$
|
|
|
Plumbing
Flat Rate |
$
699.00 |
$
|
|
|
Electrical Flat Rate |
$
699.00 |
$
|
|
|
Appliance Flat Rate |
$
699.00 |
$
|
|
|
Additional Binders |
$
29.00 |
$
|
|
|
Easy
Loads |
$
399.00 |
$
|
|
|
Employee
Manual |
$
149.00 |
$
|
|
|
Forms
Kit |
$
149.00 |
$
|
|
|
Sub-Total |
|
$
|
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Less Current Promotion Credit |
$
|
($
) |
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8% Sales Tax – |
$
|
$
|
|
|
Shipping and Handling per Order |
|
$
14.95 |
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ORDER
TOTAL |
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$
|
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Method
of Payment:
Visa
Master Card
American Express
Discover (NO
Checks)
Credit Card Number: _________________________________________________________________________
Expiration Date: ________
Security Code ________ (on
the back of card for V, MC, D, and the front for AMX)
Billing Address:____________________________________
Zip: __________
(if different than
shipping address)
Thank you
for your order!
You
should receive your shipment in approximately 3 - 5
business days.
