Replacement parts order form, No c.o.d.’s – Magnadyne MV1020 User Manual

Page 19

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Replacement Parts Order Form

Send Orders To: Magnadyne Corporation

We Accept Checks, Money Orders, Visa and Master Card

ATTN: Consumer Parts Sales

Make Checks Payable to: Magnadyne Corporation

P. O. Box 5365
Carson, CA 90749-5365

SHIP TO: (No P.O. Boxes)

LAST NAME

FIRST NAME

INITIAL

STREET ADDRESS (IF PAYING WITH A CREDIT CARD, YOUR BILLING ADDRESS IS REQUIRED)

CITY

STATE

ZIP CODE

DAY TIME PHONE NUMBER

CREDIT CARD INFORMATION:

CARD TYPE:

VISA

MASTER CARD

CARD NUMBER

EXP. MONTH

YEAR

NAME -

AS IT APPEARS

EXACTLY

ON YOUR CREDIT CARD

Part #

Description

Qty.

Price Each

TOTAL

MV1020RM

Subtotal = ________ . ______

California Residents Add Sales Tax = ________ . ______

Shipping and Handling (See Chart) = ________ . ______

TOTAL = ________ . ______

No C.O.D.’s

On regular orders please allow 4-5 weeks for delivery. Please give a shipping address where this order

may be delivered between the hours of 9 a.m. and 5 p.m. weekdays. If UPS is unable to deliver, your order will be

returned and additional shipping charges will be required.

Shipping and Handling

Subtotal + Tax

Add

Up to $20.00

$5.00

20.01 to 30.00

5.95

30.01 to 45.00

6.50

45.01 to 70.00

6.95

Over 70.01

7.95

Remote Control

$39.95

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