Ez Vex Sharpening System Order Form by DWNugD

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									        Clipper Shack’s Ez-Vex Scissor Sharpening System Order Form
                 Please Fill out Sign and FAX this Order Form Back TO 740-671-9754

                       Select Below which Package you would like to Order
(Signature is required when Purchasing the Ez-Vex and also at time of UPS or Fed Ex Delivery)
(Signature is REQUIRED to Process the Order and to Authorize the Sale for the merchandise)

$________ The Ez-Vex Groomers Only Package for $1,845
$_________The Ez-Vex Stylists & Groomers Package for $2,195
$_________ The Ez-Vex Deluxe Package for $2,645 This package will be available on 6/30/11
$_________ Extra Polishing Compound in a Grey 9.5 micron stick for the leather wheels) is $6.00
$_________ Extra Polishing Compound in a Green 2 micron stick for the leather wheels) is $6.00
$__________ Extra Diamond Dressing Lube is $10.00
$__________Yes I understand it can be 10 business days before the machine is completed, tested and shipped
____________Yes I understand a signature is required to Process this order and also at time of Delivery
__________ I am paying by Visa _______I am paying by _______Mastercard_____(We take Debit or Credit cards)
$     40.00 is for the Shipping and Handling Fee for Delivery of the Ez-Vex to locations in the USA
$___________ Ohio Customers ONLY have to pay 7% sales Tax OR Provide a Tax Exemption form
$_________ 45 micron diamond wheel as an optional and an Extra that costs $250

$___________ Total Cost
PRINT CLEARLY
Customers Name:____________________________________________________________

Customers Address:____________________________________________________________

Shipping Address / NO P.O Box accepted___________________________________________

City______________________________________ STATE_____________________ ZIP________

Customer Phone number:_________________________________________________________

E-mail Adress:____________________________________________________________________

Credit Card Number ____________________________________________EXP DATE________

Customer Name on Credit Card_____________________________________3 digit code on back_____

Persons Name on Credit Card Zip Code is _______________________

Credit card Customer
Signature_____________________________________________________________(required)
Your Signature authorizes your credit card for this sale.   All Sales are final

								
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