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M4UM
9-28-00 Rev. A
Parts and Accessories Order Form
Send Check or Money Order Only (No Cash) To:
Magnadyne Corporation
ATTN: Consumer Parts Sales
P.O. Box 5365
Carson, CA 90749-5365
SHIP TO: (No P.O. Boxes)
LAST NAME FIRST NAME INITIAL
STREET ADDRESS
ADDITIONAL ADDRESS
ADDITIONAL ADDRESS
CITY STATE ZIP CODE
DAY TIME PHONE NUMBER
PAR
T # DESCRIPTION
QTY. PRICE EACH TOTAL
Sales Subtotal = ________ . ______
California Residents Add Sales Tax = ________ . ______
Shipping and Handling (See Chart) = ________ . ______
TOTAL = ________ . ______
No C.O.D.’s
On regular orders please allow 4-5 weeks for delivery.
Please give a shipping address where this order may be delivered between the hours of 9 am and 5 pm weekdays.
If UPS is unable to deliver, your order will be returned and additional shipping charges will be required.
Shipping and Handling
Subtotal + Tax Add
Up to $20.00 $5.00
20.01 to 30.00 5.95
30.01 to 45.00 6.50
45.01 to 70.00 6.95
Over 70.01 7.95