ONE GRAND PRODUCTS ORDER FORM

PRINT A COPY, FILL OUT THE FORM AND MAIL WITH YOUR PAYMENT.

SHIP TO:

Name
Address/Ste #
City
State
Zip

PHONE:

BILL TO:

Name
Address/Ste #
City
State
Zip

PAYMENT METHOD - CHECK ONE:

CHECK MONEY ORDER CREDIT CARD

CARD ACCOUNT #	EXPIRATION DATE	CUSTOMER SIGNATURE	PHONE # (REQUIRED)

PLEASE MAKE CHECKS OR MONEY ORDERS, PAYABLE IN U.S. DOLLARS, FOR THE TOTAL AMOUNT TO:

ONE GRAND PRODUCTS, INC.

MAIL YOUR ORDER WITH PAYMENT TO:
ONE GRAND PRODUCTS, INC.
3007 BUNSEN AVE #M/N
VENTURA, CA 93003

STOCK #	DESCRIPTION	QTY	PRICE EACH	TOTAL PRICE	SHIPPING

SUBTOTAL
SALES TAX(CA only please add 7.25%)
SHIPPING TOTAL
GRAND TOTAL

California LOCAL CALLS (805) 644-9791

24 HR FAX LINE (805) 644-9795

NATIONAL ORDER LINE (800) 782-3329

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