Print this form and Mail or Fax to: Ramco, 62 Oak Hill
Road, Frewsburg, NY 14738 (USA)
Fax No: 814-723-7010
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Shipping Address |
Billing Address (if different) |
| Name |
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| Address |
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| City, State |
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| Zip/Code, Country |
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| Daytime Telephone Number |
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| Email Address * |
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* Email Address must be included so we can acknowledge your
order
Order Information
| Part No. |
Quantity |
Description of Part |
Unit Price |
Total Price |
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| Subtotal |
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| If in New York State add State Sales Tax
7% |
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| Shipping |
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| TOTAL |
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Payment Information - Check card type
| Visa __ |
MasterCard __ |
Discover __ |
Credit Card Information
| Card No. |
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| Bank Name |
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| Exp Date |
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Signature _____________________________________________
Or: Check enclosed ___