Puget Sound Casting Services ORDER FORM NAME: ____________________ SHIP TO: Name:__________________ Address ___________________ Address: ____________________ Address ___________________ Address _____________________ City, ____________________ City, _________________ Province or State______________ State or Province: _____________ Postal (Zip) Code _____________ Postal code: __________________ Phone Number: ____________________ Date: ______________ PAYMENT BY: ___ Check:_________ Amt. Enclosed:_____________ Money Order:_________ Amount Enclosed:___________ Make Checks payable to "Puget Sound Casting Services" Payment Policy: Payment in full required on all orders. No Refund after 30 days. Prices subject to change without notice." STOCK NO. Qty DESCRIPTION PRICE/UNIT TOTAL AMOUNT ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- Sub total: Ship/Hand $4.00 Mail To:Puget Sound Casting Services Wash. Res. add Tax : 9820 S. 245 th Pl. Total due: Kent, Wa. 98030 PH:253-859-5075 E-Mail: Knoyce@nwlink.com Web Site: www.nwlink.com/~knoyce/ Jim Billington E-mail: trucknutt@email.msn.com