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 ________________________________