| To place an order by fax, or mail, please print
this form and fax or mail it to us.
to:
Allen Guitars & Luthier Supplies
P.O. Box 1883
Colfax, CA
95713 USA
Phone & Fax:(530) 346-6590
e-mail: 
| Ship
To:__________________________________________ P O
#_________________ Date:_____ |
| Street
____________________________________________Ordered
By:________ |
| City:____________________State: _______
Zip:_____________________ |
| Phone: ( ....)__________________ Fax: ( ....)__________________ |
| e-mail:___________________________________________________ |
| Credit Card #_______________________________ Card
Expires_______
3 digit CV Codefrom back of card near
signature______________ |
| |
| QUANTITY |
DESCRIPTION |
SIZE |
COST |
TOTAL |
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Min Order $30.00 or Add $5.00 for under min order |
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| SHIPPING
CHARGES (min $7.50) |
|
| COD CHARGES |
|
| If you are
ordering from California please include
the sale tax. CA. STATE SALES TAX 8.50% |
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| Prices
subject to change without notice. |
TOTAL |
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| |
| Would you like us to
send a price list to a friend? |
| Name:___________________Address:____________________________________________ |
| City:_____________________State:_____Zip:_____________ |
|