Order Form
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HITECHAMMOTOGO
1930 Village Center  Cir #3-971
LAS VEGAS, NV 89134
(702) 889-9307 ORDER & FAX

 

DATE_________________

NAME____________________________________________________________________________
ADDRESS________________________________________________________________________
CITY______________________________________________STATE__________ZIP____________
HOME PHONE_____________________________WORK PHONE____________________________
FAX___________________________________E-MAIL____________________________________
CREDIT CARD #______________________________________ EXPIRES___________________
ALL CREDIT CARDS INCLUDE LAST 3 DIGITS FROM SIGNATURE BAR __________

SIGNATURE_______________________________________________________________________

QTY.

RW. NO.

DESCRIPTION

UNIT
PRICE

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBTOTAL

 

NV. (8.10%) SALES TAX

 

SUBTOTAL

 

HAZARDOUS MATERIAL CHARGE

 

SHIPPING AND HANDLING

 

TOTAL

 

MAILING ADDRESS_______________________________________________

CITY____________________________STATE__________ZIP_________________

 NO UNAUTHORIZED EXCHANGES OR RETURNS! IF SHIPMENT IS OUR FAULT A RETURN AUTHORIZATION # FROM OUR CUSTOMER SERVICE DEPARTMENT IS REQUIRED PRIOR TO THE RETURN OF GOODS FOR EXCHANGE OR ADJUSTMENTS.PLEASE INCLUDE A COPY OF YOUR INVOICE WHEN RETURNING ANY ITEM FOR ADJUSTMENT. RETURNS ARE TO BE SENT WITH SHIPPING PREPAID TO OUR POSTAL ADDRESS AS LISTED ABOVE. ANY EXTRA COURIER CHARGES RESULTING FROM AN INCOMPLETE OR INACCURATE ADDRESS WILL RESULT IN A $6.00 FEE PAID BY THE PURCHASER.

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