Doc Fizzix Products

ORDER FORM

Mousetrap Powered Cars Boats and Vehicles  
Mailing Address:
Doc Fizzix
P.O. Box 5507
Round Rock, TX 78683-5507

Phone Numbers:
(Local) 512-218-0454
(Toll Free) 866-362-3499
(Fax Number) 512-366-9060

Bill To:
Name :
Company
Address
City, State ZIP
Phone		 Ship To:
Name
Company
Address
City, State ZIP
Phone

Print this page and complete the order form including your address and payment information.
Item# Description PriceQtyTotal
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         

Sub Total

 

Texas Residents ONLY must include Sales Tax (8.25%) multiply total by 0.0825   

 

Shipping (add $7.20 for USPS Priority)  

 

Order Total

 



 
Payment Information (checks and money orders payable to Doc Fizzix):

___Check___Money Orders___Visa   ___Mastercard   

Card Number: 

___________________________________    Expiration Date: ____________

Name on Card: 

______________________________________________________________

Signature: 

______________________________________________________________


If you are paying with a check or money order remember to attach it to this order form and mail it to the address below:


Doc Fizzix
P.O. Box 5507
Round Rock, TX 78683-5507

Fax Number: 512-366-9060

Merchandise will be sent immediately after payment has been received. If you have any questions concerning this invoice, contact Doc Fizzix via phone. (512) 218-0454 docfizzix [at] docfizzix.com.

THANK YOU FOR YOUR BUSINESS!