CAS Design Center - ORDER FROM

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ORDER FORM

BILLING:
Company Name:	or	Personal Name:

Billing Address:


City:	State:	Zip Code:

NAME / TITLE:

E-mail:		Fax #:

SHIPPING:
Company Name:	or	Personal Name:

Attn: (Name)

Street Address: { We cannot ship to a PO Box }


City:	State:	Zip Code:

Phone:(123)123-1234

PAYMENT:
Card Number:
Exp. Date:
Signature:

SHIPPING INSTR.:

NOTE: All Products are F.O.B. our Dock or Manufactures.
( The Minimum Order is $30.00 )

EASY FILL-IN ORDER FORM: Fax: (972) 552-9054 or Call Toll Free 1-800-662-1221
Quantity	Stock #	Description				Unit Price	Price Total








PURCHASE ORDER # (Optional)		10 % Handling / Packing Fee (min. $5.00):
		Merchandise Total:
		Texas Customers Add 8 1/4% Sales Tax:
		TOTAL AMOUNT:

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