Catalog Fax Order Form

Detail Master Catalog FAX Order Form

Print out this form - Fill it in and fax it to us for

Name ______________________________________

Address____________________________________

City_______________________________________

ST or Province______________________________

ZIP (USA only) ______________________________

Postal Code (non USA)________________________

Country (if not USA) __________________________

Signature __________________________________

Name on card_______________________________

I will be billed $2.00 USA, $3.00 plus actual

Please bill my VISA / MasterCard / American Express or Discover Card

Card # ______________________________________________

Exp Date _____________

Billing Street Address_____________________________________________

Billing Zip Code___________________

Fax to 585-482-3677

Thank You! Your order will be arriving soon! We try to ship within 10 days of receiving your order but please allow up to 3 weeks for delivery.