Mac1 ORDER BLANK
13974 Van Ness Ave. Gardena, Ca. 90249
PHONE 310-327-3581
FAX 310-327-0238
Web-site: http://www.mac1airgun.com/
Email: orders@mac1airgun.com
NAME
________________________________________C/O________________________________
SHIP TO
_________________________________________________________________________
CITY _________________________________ STATE____
ZIP __________-_______ RES? Y /
N
TEL #
________________________________ FAX # ______________________________________
E-MAIL
_______________________________________________________________ NOTIFY? Y / N
NAME ON CARD ________________________________
BILLING? __________________________
__________________________
CARD #
____________________________________________________________ EXP ___________
ISSUING BANK ___________________CUST SERV # ______________________________________
We accept all major
credit cards: AMEX, M/C, VISA & DISCOVER
Item
Qty Product Description Price Each Total
1.
1. __________________________________________________
2.
2. __________________________________________________
3.
3. __________________________________________________
4.
4. __________________________________________________
5.
5. __________________________________________________
6.
6. __________________________________________________
7.
7. __________________________________________________
Shipping: __________________
Subtotal: __________________
For cards, add 3% of
Subtotal: __________________
Residents
of California add 8.25% of taxable items:
__________________
Add
for Adult Signature Request (UPS only) $ 3.00: __________________
Order
Total : ______________