Page 186 - Masune First Aid & Safety eCatalog 2018

1 Bill To CUSTOMER NO.__________________________
NAME
ATTN:
STREET ADDRESS
CITY, STATE, ZIP
Order Form
See the pink box on the back cover of this catalog
2 Ship To
NAME
ATTN:
STREET ADDRESS
CITY, STATE, ZIP
() () PHONE E-MAIL ADDRESS PHONE
() () FAX FAX
E-MAIL ADDRESS
3 Payment Method
o Charge to my credit card o Check enclosed o Bill our account
oooo
INSTRUCTIONS CREDIT CARD NO.
SIGNATURE
NAME OF CARDHOLDER
CREDIT CARD BILLING ADDRESS CITY
EXPIRATION DATE
4 Key Code _______________________________________ 5 Your Order P.O. #
See the blue box on the back cover of this catalog
Mo. Yr.
STATE
ZIP
QTY. ITEM NO.
DESCRIPTION
PRICE EACH EXT. PRICE
Total Merchandise
Shipping & Handling
(see info at left)
Sales Tax1 (on subtotal) (AL, AR, AZ, CA, CO, CT, DE, DC, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, MI, MN, MS, MO, NE, NM, NJ, NY, NC, ND, NV, OK, OH, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI Customers)
Sub Total
TOTAL
1Every order must include applicable sales tax. If you are tax exempt, please include your tax exempt certificate with your order.
SHIPPING AND HANDLING FOR ORDERS SHIPPING WITHIN THE CONTINENTAL UNITED STATES
• Delivery of all orders within the continental U.S is F.O.B. shipping point by ground delivery service. • Overweight/Oversized items may require additional charges; please call 800-831-0894 for a quote. • For orders shipped outside of the continental United States, please call 800-831-0894 for a quote.
To Order:
6
Orders under $150
$10.95
Shipping and Handling charges
Orders between $150 and $250
Mail to:
25 Northpointe Parkway Suite 25 Amherst, NY 14228
$12.95
Orders between $250 and $500
$17.95
Orders over $500
$19.95
Call 24 Hours/7 Days 1-800-831-0894
Order By Fax 1-800-222-1934
Order Online
www.masune.com
Try our “Quick Order” online order form
Please see previous page for ordering info, terms, returns policy, and shipping and handling information