VISA
MASTERCARD
Credit Card will be billed by "Western Trophy", a sister company.
FAX:714-573-1308 PHONE:714-573-8628
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Printable Order Form - http:/jump.to/sierrawest
| PRINT ORDER FORM |
| Last Name | First Name | ||
|---|---|---|---|
| ______________________________ |
_________________________ |
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| Address (space for different shipping address below) | |||
| City | State/Country | Zip/Post Code | |
| _____________________ |
_________________ |
_____________ |
|
| Phone | |||
| _____________________ |
__________________ |
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| No./Name of item (s) to order: | Quantity | Price Each | Price |
| _______________________ |
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| _______________________ |
___________ |
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| _______________________ |
___________ |
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| _______________________ | ___________ |
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| _______________________ | ___________ |
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| _______________________ | ___________ |
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| _______________________ | ___________ |
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| _______________________ | ___________ |
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| Sub-total: | ___________ |
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| California Residents add 7.75% tax | Tax: | ___________ |
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| Add $5. 00 for shipping and insurance | Shipping: | ___________ |
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| Take an additional 20% discount if order is over $100. | TOTAL: | ___________ |
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| Credit Card Payments (circle
one): VISA MASTERCARD |
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| No: ______________ |
Expiration: _______ |
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| Signature (required for credit cards): | Signature:
______________________ |
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| Check/Money Order/Cash Payments: | |||
| Checks, cash, and money orders should be
in US dollars and made payable to "Sierra
West". The address is Sierra West 14311 NEWPORT
AVE. STE. G-120 TUSTIN,CA 92780. Credit Card will be billed by "Western Trophy", a sister company. FAX:714-573-1308 PHONE:714-573-8628 |
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| Additional Comments/Questions/Shipping Address if different: | |||
| ______________________________________________________________________________ ______________________________________________________________________________ |
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