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PRINT ORDER FORM AND SEND WITH 50% DEPOSIT AND YOUR PARTS |
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FINISHING ORDER/ PACKING LIST INCLUDE WITH PARTS |
| TELEPHONE: | FAX: | DATE: | |
| NAME: | EMAIL: | ||
| ADDRESS: | CITY: | STATE: | ZIP: |
| INDICATE FINISH | ||||
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SHOW CHROME |
BLACK CHROME | PLASTIC CHROME | POLISHING | GOLD |
| BRASS | COPPER | NICKEL |
POWDER COATING (COLOR) |
OTHER: |
| CHROME COLORS (specify): | ANODIZING: |
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METHOD OF PAYMENT: DEPOSIT CHECK ENCLOSED RETURN BALANCE C.O.D. (MIN. DEPOSIT 50%)* *OTHER ARRANGEMENTS CAN BE MADE IN ADVANCE* WE NO LONGER ACCEPT CREDIT CARDS. |
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HOW DID YOU FIND
US?
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| Year: | Make: | Model: |
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Qty: |
Description |
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IF ADDITIONAL SPACE IS NEEDED -- PLEASE DUPLICATE ORDERFORM AS NEEDED.. SHIPPING A PROBLEM? CALL US WITH # OF BOXES, GIVE WEIGHT FOR EACH BOX AND WE WILL HAVE UPS PICK UP AT YOUR DOOR. |
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© 21st Century Finishes Inc. All rights reserved.
Rev 3/07
MAGAZINE 
AD POSTCARD FRIEND OTHER
