Hi-Tech Unlimited Order Form

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1231 N. Blackstone       
Fresno, CA 93703       
Telephone: (559)441-1111       
Toll Free: 1-800-441-1110       
Fax: (559)445-0488

***To place an order, please print out form on your printer, ***
***fill it out, sign, date and fax it to (559)445-0488 . ***

Sold To:

Name:

Street#:

City:

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Zip:

Country:

Phone#:

Send To:

Name:

Street#:

City:

State:

Zip:

Country:

Phone#:

Catalog
Number Description How
Many Price
Each Total

Merchandise Total

Shipping & Handling

California Sales Tax

Total Amount

METHOD OF PAYMENT: American Express Discover VISA MASTERCARD COD

Authorized Signature:

If paying by credit card, please fill out this form: Credit Card Authorization Form

Minimum order of $100 for all mail orders. Also, be aware that some products are sold on a no returnable basis. Please call for further details.
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