ShearGuide Order Form

Fani, Inc.
P.O. Box 99
Kenosha, WI 53141-0099
Phone: 1-800-670-3130   Fax: 1-262-654-4818
E-Mail: flair@acronet.net
www.shearguide.com
Print Out and Fax

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Item Number

Color

Quantity

Description

Price

Total Price

 

 

 

 

 

 

BLK-101

BLACK

 

Black ShearGuide

$24.95

 

WH-102

WHITE

 

White ShearGuide

$24.95

 

GRY-103

GRAY

 

Gray ShearGuide

 

$24.95

 

TOTALS

 

 

 

 

 

 

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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