Doc Fizzix Products |
ORDER FORM |
Mousetrap Powered Cars Boats and Vehicles | |
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Mailing Address: Doc Fizzix P.O. Box 5507 Round Rock, TX 78683-5507 |
Phone Numbers: |
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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 | Price | Qty | Total |
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! |