EQUINE PERFORMANCE TECH
ORDER FORM
Copy or print this form- email to contact @vmaxept.com
fax or mail to
76 WOLF PEN CREEK RD PIKEVILLE TN 37367 / FAX 423-881-3691
615-557-7605
QTY ITEM U/P TOTAL
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TOTAL--------------
SHIPPING --------------
RES STATE TN ADD 9.25% TAX ---------------
ORDER TOTAL ------------
Shipping charges : USA Pri Mail-
Standard USA PRI MAIL APPLIES for all other orders.
DO NOT USE THIS TO ORDER A V-MAX HEART RATE MONITOR
MAKE CHECK PAYABLE TO: EQUINE PERFORMANCE TECH NO CREDIT CARDS - CHECK or MO ONLY
NAME____________________________________________________________
ADDRESS________________________________________________________
CITY____________________________________ST________ZIP____________
COUNTRY_____________ PHONE_____________________________
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