The MAX Fax-In Order Form

Forrest Tool Company
PO Box 768, 44250 Gordon Ln. Mendocino,CA 95460
EMAIL: maxax@mcn.org • PHONE (707) 937-2141
FAX (707) 937-1817 

DATE __________________
SHIPPING to ADDRESS:

Name ____________________________________________________

Address ________________________________________________

City __________________________ State______ Zip ____________

Phone ______________________ Email ____________________
QTY
ITEM DESCRIPTION
PRICE
TOTAL
 
MAX Tool Set
$249.95 each
 
PAYMENT METHOD


Mastercard Visa

Money Order Check

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Credit Card Number

__ __ / __ __ Expiration Month / Year

Signature_______________________________________

Phone # ____________________________

Subtotal
  
California residents
add 7.25% sales tax
  
*UPS Shipping
$10 each
No Shipping Charges in California
 
TOTAL
  
   

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