Jet Trax Inc. Order Forrm
Print off this form and mail to the address below
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| See item Price List by Clicking Here |
| *** Shipping charges are extra |
| Tax charged only to California Customers |
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Ship To: |
| Name: __________________________________________________________________ |
| Business: _______________________________________________________________ |
| Address: ________________________________________________________________ |
| City:____________________________________________________________________ |
| State: ______________________________ Zip Code: ___________________________ |
| Telephone No.: _______________________E-mail Address: _____________________ |
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| Bill To ; (if different than ship to information) |
| Name: __________________________________________________________________ |
| Business: _______________________________________________________________ |
| Address: ________________________________________________________________ |
| City: ___________________________________________________________________ |
| State:_______________________________ Zip Code: ___________________________ |
| Telephone No.:_______________________ E-mail Address: ______________________ |
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| Circle form of payment: |
| Certified/Cashiers Check |
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Money Order |
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Personal Check |
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| Circle Credit Card to be used: |
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Visa |
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MasterCard |
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| Card Number _________________________ Expiration Date: ________ |
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| Comments or special requests: ______________________________________________ |
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| ________________________________________________________________________ |
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Print this form, fill out and send with payment to |
Jet Trax Inc. |
PO Box 2664 |
Santa Clarita, CA 91386-2664 |
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Toll free 1-800-953-8729
Outside USA (661)904-9910 |
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