ORDER FORM

Charge your order to Visa or MasterCard

Call or fax this order form

1-702-453-0975

 

Name:                          _____________________________________

Mailing Address:       _____________________________________

City/State/Zip:           _____________________________________

Credit Card:  (MC___)  (Visa___)

                                                            Number:  __________________________  Exp. Date:__________

 

                                                           Quantity                               Description                               Cost             Extension  

_________    ______________________________    ________    ________

 _________    ______________________________    ________    ________

_________    ______________________________    ________    ________

_________    ______________________________    ________    ________

_________    ______________________________    ________    ________

_________    ______________________________    ________    ________

                                                                   Sub Total                                    ________

                                                                   Shipping (see rates here)        ________

                                                      Sales tax for Nevada Residents Only     Sales Tax                                    ________

                                                                                                                             Total                                            ________

Order from:

KKZ Company, LLC

6055 E Lake Mead Blvd #202

Las Vegas, NV 89156

Voice Orders (702) 453-0975

Fax (702) 453-0975

Thank You for your order

 

 

Charge your order to Visa or MasterCard
by calling 1-702-453-0709, or you may fax it
with this order form to (702) 453-0709.

Name: ___________________________________________________
Mailing Address: ___________________________________________________
City/State/Zip: ___________________________________________________
Credit Card:
 _(MC ___ ) (Visa ___ )
Number:
 _______________________ Exp. Date: __________________

Quantity
Description
Cost
Extension
________ ________________________________________ ________ ________
________ ________________________________________ ________ ________
________ ________________________________________ ________ ________
________ ________________________________________ ________ ________
Sub Total ________
Shipping (See rates here) ________
Sales tax for Nevada Residents Only 7.25%
Sales Tax ________
Total ________

Take 10% Discount (from sub total) when you order from our web site
Be sure to mention or write in the Discount Code number
from the link that brought you to this page.

Order from:
Your Company Name
Your Mailing Address
Your City, State and Zip Code
Fax (702) 453-0975
Voice - Orders (702) 453-0975

Thank You for your Order
Did you find the Discount Code?
Look for it on the product description pages, price lists,
or link that referred you to our site.

KKZCO Home Page /
KKZ's Best Sellers /
Mailing Lists Page /

Copyright 1999, KKZ Company, LLC
Discount Code: ______________________________



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