Order form, Please make checks payable to: avanti products – Avanti WD31 User Manual

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ORDER FORM

Avanti Products, P.O.Box 520604, Miami florida 33152

For your convenience, you may use a major credit card (Master Card, or Visa) to order accessories over the phone by calling (800) 220-5570.

To order by mail, please fill out the following form and send it in with your payment (check,money order or credit card)using the above address.

NAME (please print)

ADDRESS

CITY

(5ty

Item

Description

Price

Total

CD-5

CUP

DISPENSER

12.99

NSV-1

NO SPILL

VALVE

9.99

SUBTOTAL

SHIPPING AND HANDLING

$ 6.25

TOTAL

$

STATE

ZIP

DAYTIME PHONE

ENCLOSED IS

( )

[] CHECK

[] MONEY ORDER [J

ma

STERD CARD |] VISA

CREDIT CARD NUMBER

EXPIRATION DATE

NAME

(AS ITAPPEARS ON CREDIT CARD)

SIGNATURE

(OF CREDIT CARD HOLDER)

PLEASE MAKE CHECKS PAYABLE TO: AVANTI PRODUCTS

Avanti has a policy of continuous improvement on its products and reserves the right to change materials and specilications \vithout notice.

Prices and availability of items are subject to change without notice.

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