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Items Ordered

Items Ordered

Bill To

Bill To

First Name*

Last Name*

Address*


City*

State*
Postal Code*

Country*
Email*

Day Phone*

1.  Ship To

1. Ship To

First Name*

Last Name*

Address*


City*

State*
Postal Code*

Country
Email*

Day Phone*

Required Ship Date:

Required Ship Date:

WHOLESALE ONLY

Please specify when you would like us to start shipping. ASAP orders will be shipped within 1-2 weeks of receipt of orders as long as we have the items available to ship.

Completion Date:

Completion Date:

WHOLESALE ONLY

Please note that ASAP orders will be given a completion date of 45 days from date of order. This is to allow for items not currently in stock

Partial / Complete Orders/Split Ship Orders:

Partial / Complete Orders/Split Ship Orders:

WHOLESALE ONLY

Please indicate if you would like partial shipment or complete orders only. Partial acceptance is the fastest way to receive your goods as some things may not be in. We do charge shipping each time we ship. However, please note that we only ship 1 backorder. If you choose Complete Orders than we will only ship once everything is in stock (which will delay the shipping of your order). If you wish us to split your order so that not everything comes in at once, please specify $/date

2.  Ship As Sets

2. Ship As Sets

WHOLESALE ONLY

Please List The Items That You Want Shipped As Sets Here (i.e. - 3000BSK/3000VT) Thank You

Name Item No. Qty Price Total
Subtotal $0.00
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