RIVERBANK ARMORY PRINT THIS FORM FOR EASY MAILING OR FAX! Mail to: George Liakos P.O. BOX 85 Riverbank, CA 95367 OTHER WAYS TO ORDER... PHONE: (209) 869-5576 FAX: (208) 441-1354 We can only receive fax's so if you need a reply include an email address or phone number |
SOLD TO: | _________________________________________ | SHIP TO: | _________________________________________ |
ADDRESS: | _________________________________________ | ADDRESS: | _________________________________________ |
_________________________________________ | ________________________________________ |
RESIDENCE _____ BUSINESS _____  |
PHONE: _____________ | CREDIT CARD # ________________________________________________ | EXPIRE: | ____/_____/___ |
E-MAIL ADDRESS ____________________________________________________________________________________ |
SUBTOTAL | _______________ |
CALIFORNIA RESIDENTS ADD 8.375% SALES TAX | _______________ |
SUBTOTAL | _______________ |
SHIPPING, HANDLING, INSURANCE | _______________ |
TOTAL | _______________ |