Print this form, complete it and send it to: |
www.sharrock.com |
|
Ship to: Name:________________________________ Address:______________________________ _____________________________________ _____________________________________ Zip/Postal Code: _______________________ Country:______________________________ |
Telephone:____________________________ FAX: _________________________________ Email: ________________________________ ORDER: |
Quantity |
Item |
Price |
$ |
|
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ |
TERMS |
|
Sub Total |
$ |
Cheques, International Money Orders |
|
Shipping |
$ |
All prices are in US dollars
(Unless quoted otherwise) |
|
TOTAL |
$ |
SHIPPING CHARGES |
Cheque enclosed _____
Bill VISA Name on Card ____________________________________________
|