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Subtotal:
Shipping
& handling*: $5.00
Sales tax**:
Total:
* $15.00 outside the
continental U.S.
**CA 7.25%, IL 6.25%, IN 5%,
NY 8.25%, OH 5.75%, PA 6%,
SC 5%
Model No. Serial No.
(Both Numbers Required)
Check or money order enclosed
(payable to Century Products)
Charge to credit card
Visa MasterCard Discover
Account #
Expiration date
Signature
SHIP TO:
Name
Address
City, State, Zip Code
Telephone (including Area Code)
E-mail address
MAIL ORDER TO:
CENTURY PRODUCTS
150 Oaklands Blvd.
Exton, PA 19341
ATTENTION: CUSTOMER SERVICE
DEPARTMENT
OR
FAX ORDER TO:
(610)884-8370