Texas True

Fax Order Form

Please print this form, complete in pen, and fax to:

903-939-8397

Name ___________________________________________

Check one: _____ Home _____ Business

Address ____________________________________________________

City ________________________ State ____________ Zip _______

Phone - Day ____________________ Evening ____________________

E-Mail ____________________________________

Ship to Address (if different)

Name ____________________________________________

Address ______________________________________________________

City ________________________ State ____________ Zip _______

ORDER:

Stock # ______ Description _____________________ Qty ___ Price _______

Stock # ______ Description _____________________ Qty ___ Price _______

Stock # ______ Description _____________________ Qty ___ Price _______

Stock # ______ Description _____________________ Qty ___ Price _______

Sub-total ________

Shipping* ________

Handling ________

(If applicable - Texas residents) Sales Tax ________

* Standard shipping fees.

* SSFC - call for exact freight quote

ORDER TOTAL ________

To pay by Visa, Mastercard, or Discover:

Name on Card: _______________________ Signature: ____________________

Credit Card Number: ______________________________ Exp: ____________

Card Billing Address ______________________________________________