Equipment shipped to physical addresses
ONLY. No Post Office boxes, please.
Please verify you have selected correct unit
and order form as all sales are final.
Please circle desired components for this order:
Universal Base
Dual 8 gate
9.5 gate 16
gate Slide gate
Name:_________________________________ Company:_______________________________
Day phone:_________________________________(if international, please include country code)
Email address:___________________________@______________________________________
Street______________________________________________ Apartment or Suite #__________
City: ___________________________________ State/Province__________________________
Country _______________________________________ Postal Code (zip) _______________
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Payment method: (please circle)
PayPal
Cashier's
Check Company
Check Wire Transfer
Credit Card
Exact amount of payment, including shipping and any wire
transfer fees $__________________
Date payment sent:_____________ Date payment received:___________________
(do
not fill in)
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The following must be signed for your order to be scheduled.
I have read the Pre-Order Information Page