Click Here
to Print This Page then Fax this Form for Ordering
24 hour fax and phone
order line: 1- 877 MONKONE (1- 877 666 5663)
You can also mail this form to: 2603
ELECTRIC AVE., SUITE 4, PORT HURON, MI 48060
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Required areas in order to process |
Customer
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PO #
Priority Code:
[ ] New Acct
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Billing Information
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Shipping
Information (if different)
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* Name |
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Company |
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* Address1 |
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Address2 |
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* City |
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* State/Zip
/Country |
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* Phone/Fax |
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QTY.
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Product
Code
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Description |
size/color |
x Unit
Price
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=
Item Total |
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Sub-Total |
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Michigan
Customers...
You must add Local Sales Tax of 8% |
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$4 - USA ..... $6 - CANADA ..... $8 - INTERNATIONAL Shipping |
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Order Total |
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PRODUCT CODES AND PRICES
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