To place your order by Fax (or Mail) Print out this form
and FAX TO:
(813) 689-1586 Florida Residents
please add 7% Sales Tax to Total
| QUAN. |
ITEM NO. |
DESCRIPTION |
PRICE (Ea.) |
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SHIPPING | Orders totaling less than $85.00 please include $9.95 | $ |
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TOTAL
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| Cardholder's Name: | _____________________________________________________________________ |
| Billing Address: | _____________________________________________________________________ |
| City: | ___________________________________State:___________Zip Code__________ |
| Phone: | Day ( ) ____________________ Night ( )______________________ |
| _________________________________________________________________ | |
|
CreditCard Select One |
(Visa __) (MC __) (Disc___) CARD NUMBER
________-________-________-________ Expiration Date(month and year) _________________________________ SIGNATURE___________________________________________________ |
Back to E-Pool Products
To Order by Mail please send completed form to:
Bob Stubbs, Inc., 207 S. Parsons Avenue, Brandon, Florida
33511
Orders totaling less than $85.00 please include $9.95
to cover Shipping and Handling
SHIPPING ADDRESS IF DIFFERENT THAN ABOVE:
Full Name___________________________________________________
Street Name_______________________City_________________State____ Zip_________