|
P. O. Box 9055 Canoga Park, CA 91309 Order Line: 1.800.779-8077 |
Make Checks Payable To: CEC Products Order Line: 1.818.361.4352 |
| Buyer: |
| Street Address: Apt./Unit: |
| City, State, Zip: |
| E-Mail: Phone: |
| Ship To: (If Different) |
| Street Address: |
| City, State, Zip: |
| Outside USA Address:
(Delivery Outside USA Info Here) |
| Gift Message/Occasion:
(Gift Info Here) |
| Special Instructions: |
| . |
|
|
|
|
| Card #: Expiration / |
| Card Name: Signature: |
| Item# | Description | Size/Col | Quantity | Price | Shipping |
| . | . | . | . | . | . |
| . | . | . | . | . | . |
| . | . | . | . | . | . |
| . | . | . | . | . | . |
| . | . | . | . | . | . |
| . | . | . | . | . | . |
| Sub-Totals: | |||||
| Price Total: | |||||
| Sales Tax (CA residents ONLY add 8.5% sales tax): | |||||
| (Shipping Charges Here) Shipping & Handling Total: | |||||
| (Shipping Info Here) Grand Total: | |||||