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ORDER FORM
IF YOU ARE SHIPPING TO AN ADDRESS WITHIN THE CONTINENTAL US, AND WOULD LIKE TO PAY
FOR YOUR ORDER WITH A CHECK, YOU MAY DO SO BY PRINTING OUT THIS FORM, FILLING IT OUT,
AND MAILING IT WITH A CHECK TO:

EAKIN-AUSTIN, INC.
P.O. BOX 2
WASHOUGAL, WA 98671

Questions about paying with a check? Call us at (800) 396-4155

PLEASE NOTE:
IF YOU RESIDE IN WASHINGTON STATE, YOU MUST INCLUDE SALES TAX(8.2%).
ALL PRICES INCLUDE UPS GROUND SHIPPING.

INTERNATIONAL ORDERS, OR ORDERS IN THE USA,
WITH EXPEDITED SHIPPING, MUST CALL AHEAD TO DETERMINE SHIPPING COSTS.

SHIPPING INFORMATION

SHIP TO:_________________________________________________________

ATTN:____________________________________________________________

STREET ADDRESS:__________________________________________________

CITY: ________________________________STATE:_______ZIP:___________

TELEPHONE:_____________________________________

EMAIL ADDRESS:_______________________________________

 

YOUR ORDER

ITEM#________________QTY:_________PRICE:$_______________USD

DESCRIPTION:________________________________________________

 

ITEM#________________QTY:_________PRICE:$_______________USD

DESCRIPTION:________________________________________________

 


ITEM#________________QTY:_________PRICE:$_______________USD

DESCRIPTION:________________________________________________


ORDER SUBTOTAL:$___________________USD

EXPEDITED SHIPPING COSTS:$_________________________________USD

WA SALES TAX if WA RESIDENT (8.2%):$_______________________________________USD

ORDER TOTAL:$________________________USD
(UPS GROUND IS INCLUDED IN PRICE)



MAKE SURE TO ENCLOSE CHECK (PAYABLE TO EAKIN-AUSTIN INC.) AND MAIL,
ALONG WITH COMPLETED ORDER FORM, TO:

EAKIN-AUSTIN INC.
P.O. BOX 2
WASHOUGAL, WA 98671.

IF YOU HAVE ANY QUESTIONS, CALL US AT (800) 396-4155.
THANK YOU.

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