Tandem Associates LLC, 1854 Sage Brush St. Unit 18103 Garland, TX 75040-5534 E-mail: tandem@tandem-associates.com Plasticville Parts Order Form |
Name | __________________________________________________________ |
---|---|
Address | __________________________________________________________ |
City, State, Zip | ____________________________________ , _______ , ____________ |
SHIPPING Address | __________________________________________________________ |
(if different) | __________________________________________________________ |
City, State, Zip | ____________________________________ , _______ , ____________ |
Phone: | Home (_____) - ______ - ________ Work (_____) - ______ - _________ |
Fax # (_____) - ______ - ________ E-mail ________________________ | |
Payment: | Personal or business check ______ ; Money order or certified check _____ |
Part # | Description | Quant. | Price | Total Price |
---|---|---|---|---|
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
  |   |   |   |   |
Insurance: --- $2.50 for orders under $500 Shipping Rates for US Shipments: --- $6 for orders under $25, --- $7 for orders totaling $50 or more International orders: please contact us for our rates. |
Sub-total |   |
---|---|---|
6.25% TX Sales Tax |   | |
Insurance |   | |
Shipping |   | |
TOTAL AMOUNT |   |