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ShearEdge Order Form Fani, Inc.P.O. Box 99Kenosha, WI 53141-0099Phone: 1-800-670-3130 Fax: 1-262-654-4818E-Mail: flair@acronet.netwww.shearedge.netPrint Out and Fax |
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Contact Name ________________________________ Company _______________________________
Address______________________________ City_______________State____Zip _______
Phone _____________________ Fax ______________________ E-Mail ___________________ (if you provide us with an e-mail address or fax number, we will provide confirmation of your order to you)
If Shipping Address is Different Please Complete Below:
Name________________________________
Address ______________________________ City ______________State _____Zip_______
____ Check ____ MasterCard ____Visa ACCOUNT # (ALL DIGITS) _______________________________ EXPIRATION DATE_________
____ BILL ME (requires credit approval and 30% down) 30 Days Net on Balance
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