Magnadyne MV-VCRUSER02 User Manual download pdf (Page 20)

MV-VCRUSER02

Rev. A 2-6-02

Magnadyne Corporation

Replacement Parts Order Form

Send Orders To: Magnadyne Corporation We Accept Checks, Money Orders, Visa and Master Card

ATTN: Consumer Parts Sales Make Checks Payable to: Magnadyne Corporation

P.O. Box 5365

Carson, CA 90749-5365

SHIP TO: (No P.O. Boxes)

LAST NAME FIRST NAME INITIAL

STREET ADDRESS (IF PAYING WITH A CREDIT CARD, YOUR BILLING ADDRESS IS REQUIRED)

CITY STATE ZIP CODE

DAY TIME PHONE NUMBER

CREDIT CARD INFORMATION:

CARD TYPE:

 VISA  MASTER CARD

CARD NUMBER EXPIRATION MONTH YEAR

NAME AS IT APPEARS EXACTLY ON YOUR CREDIT CARD

Part # Description Qty. Price Each TOTAL

Sales Subtotal = ________ . ______

California Residents Add Sales Tax = ________ . ______

Shipping and Handling (See Chart) = ________ . ______

TOTAL = ________ . ______

No C.O.D.’s

On regular orders please allow 4-5 weeks for delivery. Please give a shipping address where this order

may be delivered between the hours of 9 A.M. and 5 P.M. weekdays. If UPS is unable to deliver, your order will be

returned and additional shipping charges will be required.

Shipping and Handling

Subtotal + Tax Add

Up to $20.00 $5.00

20.01 to 30.00 5.95

30.01 to 45.00 6.50

45.01 to 70.00 6.95

Over 70.01 7.95

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Magnadyne MV-VCRUSER02 User Manual Page 20