Send payment with order form to: Date:   Purchase Order # Bill to:        
40425 N. Michner Way Attention:        
Anthem, Arizona 85086 Street:        
Office: 1-800-953-2869 City:        
FAX ORDERS TO: 623.433.4450 State:   Zip:  
Returns will not be accepted without Ship tp:        
prior authorization from us. When Bill to:        
requesting authorization to make Attention:        
returns, please include billing date Street:        
and invoice date. City:        
State:   Zip:  
Contact us for our return/exchange Phone#:        
policy as each manufacturer will
vary. Most orders placed cannot
be cancelled. A restocking fee
will apply on all returns based
on manufacturer policy.
Item # (with color/style/size) QTY Description of Item   Price EA TOTAL
Circle your payment method:   Total:    
Money Order Total from all page(s):    
*Credit Card / exp / 3-digit code      
 (4 digits from front if AMEX) Combined Total:    
*If you are paying by a credit card, Sales Tax: (Combined Total X 7.3% - AZ only)  
invoices will be sent via email. **18% Shipping (Combined Total X .17):  
Please WRITE your card above Total DUE:      
*If you are paying by credit card, invoices will be sent via email.
Please enter your email address here if paying with a credit card: @  
**Oversized items (usually over 70lbs) may incur additional shipping charges
Note: will contact you to verify/confirm your order. If you are ordering multiple items
a shipping discount may apply. During busy season some items may be delayed, therefore we will inform
you of any items that may have delayed shipping. You will not be billed until we verify/confirm your order.