Direction: Please print this form, fill it out
and either fax it or mail it to Hydro-Tone. If you fax your order,
you may call in the credit card information for added security.
Fax: (714) 998-8799 Voice:
(800) 622-8663 Address:2468-A North Glassell St., Orange, CA 92865
| Sold To: | Ship to: | |||
| Co. or Name: | Co. or Name | |||
| Attn: | Attn: | |||
| Address: | Address: | |||
| City: | State: | City: | State: | |
| Phone: ( ) | Zip: | Phone ( ) | Zip: | |
| Fax: ( ) | Fax: ( ) | |||
| Other: | Other: | |||
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Credit Card Information:
Credit Card Number: Expiration Date: Signature: Billing Address for Credit Card if different from sold to: Total Order Amount = $_____________. |
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UPS Ground Service in Continental US as stated after each item $10.00/item for first item only Plus $6.00/item for each additional itemFor Shipments in the state of California only, add CA Sales Tax of 8% or the correct Sales Tax for your CA county.
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