RIVERBANK ARMORY PRINT THIS FORM FOR EASY MAILING OR FAX! Mail to: George Liakos P.O. BOX 85 Riverbank, CA 95367 OTHER WAYS TO ORDER... PHONE: (209) 869-5576 FAX: (208) 441-1354 We can only receive fax's so if you need a reply include an email address or phone number |
| SOLD TO: | _________________________________________ | SHIP TO: | _________________________________________ |
| ADDRESS: | _________________________________________ | ADDRESS: | _________________________________________ |
| _________________________________________ | ________________________________________ |
RESIDENCE _____ BUSINESS _____ |
| PHONE: _____________ | CREDIT CARD # ________________________________________________ | EXPIRE: | ____/_____/___ |
| E-MAIL ADDRESS ____________________________________________________________________________________ |
| SUBTOTAL | _______________ |
| CALIFORNIA RESIDENTS ADD 7.375% SALES TAX | _______________ |
| SUBTOTAL | _______________ |
| SHIPPING, HANDLING, INSURANCE | _______________ |
| TOTAL | _______________ |