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Call us: M-F 8am-4pm 800-552-8342
order Form
92
607 Ann Street Rear
Homestead, PA 15120
*Item No (plus color and size code, if applicable) should total 5, 6 7 or 8 digits/letters.
24 HOUR TOLL-FREE ORDER NUMBER:
800-552-8342
Faxphone:
412-476-8639
Customer Service:
800-552-8342
(Mon-Fri 8:30-4:00 Eastern Time)
:
ron@hookhack.com
Web site
:
http://www.hookhack.com
Web store
http://www.store.hookhack.com
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PENNSYLVANIA STATE RESIDENTS ONLY.
Add SAlES TAx FoR yoUR loCAlITy
-
GOODS PLUS
SHIPPING & HANDLING.
Normal shipping & handling (48 connected
United States)
Value of Merchandise ................Amount*
Under $35.00..............................$5.95
$35.00 - $75 ...............................FREE
$75.01 - $125 .............................FREE
$125.01 - $200 ...........................FREE
$201.01 - $300 ...........................FREE
$300.01 - over............................FREE
*Please know that we must reserve
the right to change rates depending
upon changes by our carriers. Changes
are likely early 2015.
Credit Card Information
Type of Card
Card Number
Expiration date
CId No. _ _ _
(Three digits to the right of the signature on the back of the card.)
Signature
When you place your first order, take 10% off
the merchandise total. offer expires 12/31/15.
**Attach additional
pages if necessary.
date______________________________________________
Customer No. ______________________________________
Ship to ____________________________________________
Address ___________________________________________
City ______________________________________________
State ______________ Zip___________________________
Telephone _________________________________________
e-mail address: _____________________________________
Item Number*
Color Code
Quantity
Size Code
description
Unit Price
Total
Total for goods above
**Additional Total
Total
Discount
Goods Total
Shipping
Sales Tax
Total Enclosed
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