Airlogic Percussion, LTD
Mail - Fax ORDER FORM

Instructions:  	1.) Print a copy of this form
		2.) Fill in all sections below
		3.) MAIL or FAX to:

			Airlogic Percussion, LTD
			9904 Running Brook Drive
			Parma, Ohio 44130  USA

			Fax: (440) 888-8031
	
		NOTE:   If Payment Method is Cashiers Check or Money Order
			your order will not be shipped until payment has been received


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Shipping Information:

              Name: ____________________________________

           Address: ____________________________________

                    ____________________________________

   City, State Zip: ____________________________________

             Phone: ____________________________________


      Color Choice:  Red Anodized - Blue Anodized - Black Anodized - Green Anodized
      (Circle One)

        Drive Type:  Chain Drive - Belt Drive
      (Circle One)
			(Note:  Both Drive types are included, but,
			we will install your choice prior to shipping.)



    Payment Method:  Cashiers Check - Money Order - C.O.D. Cash
      (Circle One)

  Introductory Price:  $230.00 + $10.00 Shipping and Handling in Continental U.S.
                     - Ohio Residents add 7% sales tax
                     - International Orders call for pricing
		     - All pricing is in U.S. Dollars

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Copyright © 1999 Airlogic Percussion, LTD                           www.airlogic.com