| Please print the following order
form and send by mail or fax. Thank you.
Ship to:
Date:______________
NAME :
_____________________________________________
ADDRESS:
__________________________________________
CITY: ___________________________
STATE: _________
ZIP: ________________
Email: ________________________
Phone #: (___)__________
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Price
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Total |
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Sub Total:
____________
Sales Tax
7.75% (TX residents only) ____________
Shipping and Handling*
____________
TOTAL: $___________
*SHIPPING & HANDLING
- Rate for single-item USA orders
shipped via UPS Ground is $8.77 (estimate)
- Multiple-item, or non-USA delivery
orders please contact us for rates.
- Shipping within 24-48 hrs or
ASAP
- Visa, MasterCard, American Express,
personal checks, money orders, cashiers' checks
accepted.
CREDIT CARD ORDERS (USA only):
Type of Card:
Card Number:
Expiration Date:
___________
Name (as printed on
card):__________________________
I certify that this
information is correct, and understand that credit card fraud is a
felony.
Signature:
_____________________________________
Domino
King
2233 W.
Division St., Arlington, Texas 76012, USA
Tel:(817) 277-8666, Fax:(817)
861-0169 Info@laser-pointer.com
Purchases will not be charged until
order is shipped.
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THANK YOU FOR YOUR ORDER! -
| 
Offers the
Complete Domino line in the USA...
