THE
BUSTER™
PRINTABLE ORDER FORM
ORDERING
INSTRUCTIONS:
1. Print out.
2. Fill in completely (please print).
3. Fax with credit card information, or mail back with check or money order.
Fax:
(415) 751-9846, Attn: Sales
Mail:
THE BUSTER™, Attn: Sales, 2955 Geary Blvd., San Francisco, CA 94118
Name:
Date: |
Business Name: |
Shipping Address (street
address only): |
City:
State/Province:
Zip/Postal Code: |
License, Business ID or Badge#:
(*required to process order*) |
Country:
Phone:
Fax: |
Qty ______ x $90.00 =
$ |
Qty ______ x $10.50 S&H =
$ |
8.5% CA State Sales Tax =
(CA state residents)
$ |
Total
$ |
Method
of Payment
__ Visa
Credit Card Number __________________________
__
MasterCard
__
AmEx
Exp. Date ___________________
__
Discover
__
Check/M.O.
Signature ___________________
[Make check or money orders payable to "The Buster".
For CA residents, add 8.5% state sales tax, plus
$10.50 S&H per unit ordered.]
Type
of business? __Towing __Car
Repo. __Fireman
__Locksmith
Other: _____________________
How
did you hear about us? __Tow Times __Prof. Repo. __Firehouse
__Friend
__Web
Other: ____________
Web
site address ____________________________
Email Address ________________________________
|