TREK-TRACKER

 

ORDER FORM

 

ITEM

NO.

PRICE

TOTAL

TREK-TRACKER

 

$199.00 (US)

 

Regular Shipping

 

$5.00

 

Overseas Shipping

 

$10.00

 

Overnight Shipping

 

$20.00

 

Sales Tax (N.Y. Only)

 

TOTAL

 

 

 

PAYMENT OPTIONS:

 

CHECK or MONEY ORDER: Made Payable to Azimuth Surveying Solutions, Inc.       Enclose check in U.S. funds (allow 5-7 business days for check to clear.)

 

CREDIT CARD (M/C VISA):  

 

                    CARD NO. ______-______-______-_____ Exp. Date:____/______

 

                   SIGNATURE:____________________________________________

 

Billing Address:

 

Name:  ___________________________________________________

 

Address:__________________________________________________

 

City:___________________       State:__________     Zip__________

 

E-Mail:   _____________________   Phone:_____________________

 

 

Shipping Address:   (No PO Boxes For Overnight Shipping)

 

Name:  ___________________________________________________

 

Address:_________________________________________________

 

City:___________________       State:__________     Zip_________

 

MAIL ORDER TO:

Azimuth Surveying Solutions, Inc.

PO Box 186

Burnt Hills, NY     12027

 

FAX ORDER TO:    (518)  399-7901