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Item    Description Quantity  Price $

 

         
 Name:
Company:

Address:
City:   State:   Zip:
Telephone, and FAX: Country:
E-mail:

Shipping Address:

Credit.Card:   Card N:
Expiration : Month /Year     3 Digit code back of the card   4 digit for American Express
    Thank You 

 Items purchased online will be shipped via UPS ground. Estimated delivery within 7 to 10 business days.
 Please note that we DO NOT sell your email address or phone number to any other party.
  · The address you give must match the billing address of the credit card
  · We Can NOT deliver to PO Boxes! Sales tax will be added to your order if required by your state
  · International orders shipping & handling will be confirmed Via Email

You may order by Fax, or Mail,
Print out this form with your Browser and send your order, by Fax  772 679 5700
b
y Mail or
Pay by Check to:
 AM Products Inc.  21218 St Andrews Blvd  508 -  Boca Raton, FL 33433
Check orders take two weeks to process.  Warranty    aaa