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.)
$
$
$
$
$
$
$
$
$
SHIPPING Orders totaling less than $100.00 please include $10.95 $

Subtotal

$

Florida Sales Tax 7%

$
TOTAL $

Cardholder's Name: _____________________________________________________________________
Billing Address: _____________________________________________________________________
City: ___________________________________State:___________Zip Code__________
Phone: Day (      )   ____________________  Night (    )______________________
E-Mail _________________________________________________________________
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., 1002 N. Parsons Avenue, Brandon, Florida  33510

Orders totaling less than $100.00 please include $10.95 to cover Shipping and Handling

SHIPPING ADDRESS IF DIFFERENT THAN ABOVE:

Full Name___________________________________________________

Street Name_______________________City_________________State____ Zip_________