ORDER FORM
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Send or Fax this Order Form to:
California Technologies
1315 Solano Street, Suite A
Corning, CA 96021
(530) 824-9133 - fax 824-9133
E-mail - webmaster@catechnologies.com
Date:_________________________________________________
Name:________________________________________________
Address:______________________________________________
City/State/Zip:_________________________________________
Phone:_______________________________________________
E-mail:_______________________________________________
ITEM/DESCRIPTION
PRICE
SHIPPING
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TOTAL FOR GOODS:___________________________________
(CA Residents Only) SALES TAX (7.25%):__________________
SHIPPING:____________________________________________
TOTAL:_______________________________________________
TERMS: Money Order, Cashier's Check, Credit Card
Personal Check (allow 10 days for bank clearance)
Please make check or money order payable to: California Technologies
Discover Card Account No.:______________________________________________
MasterCard Account No.:________________________________________________
Visa Card Account No.:__________________________________________________
Expiration Date:________________________________________________________
Cardholder Name:______________________________________________________
Cardholder Signature____________________________________________________