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ORDER FORM
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Description of Item and Item Number
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Unit Price |
Total |
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| Subtotal: |
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| S&H for items under $100 - UPS Ground: |
$15.00 |
| For UPS 2-day, 3-day, Express Shipping or International Shipping, call for pricing: |
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| Florida Res.
add 6.5% Tax: |
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| Grand
Total: |
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Ship To:
Name:___________________________
Address:___________________________________
City:_______________________
State:_________________Zip:________
Phone:___________________________
Email Address: ________________________________
Bill To (if paying by credit card, this should be the address where the bill is sent):
Name:___________________________
Address:___________________________________
City:_______________________
State:_________________Zip:________
Phone:___________________________
Email Address: ________________________________
CREDIT CARD AUTHORIZATION:
[__] Visa [__] MasterCard [__] Discover [__] American Express
Card Number: ____________________________
CVV Code: ______________
Card Holders Name as it appears on the card: ______________________________________
Expiration Date: ____________
Card Holders Signature: ____________________________________________
Please send Certified Checks or Money Orders, payable in U.S. Funds to:
Amaros Online Inc.
2004 Winners Circle
North Lauderdale, Florida 33068
When paying with a Money Order or Certified Check, please allow time for funds to be deposited and cleared.
You will be notified immediately via email or phone after this has taken place.
You may call (786) 877-6830 to order or if you have any questions.
You may fax your order to (954) 721-6343.
Visit our website to view a fabulous selection of toy cars, pedal cars, diecast cars and more: www.qualitypedalcars.com
(Print and complete this form for all telephone and mail-in-orders)
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