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PRINTABLE ORDER FORM
Print this form and use it for mail or fax orders.
Bill To: Ship To:

Address of credit card billing statement. Leave blank if it is the same as the shipping address.

 
Phone (required) Email (optional on mailed or faxed orders)
Payment Information
Please choose one:  Check #__________   Money Order#_____________________
Credit Card (If Credit card, please fill out the section below)
Credit Card Type: Mastercard   VISA   Discover Credit Card Number
Expiration Date (00/00) CVV number (last three digits
of the number on the back of the card)
Signature

  Product name Item Code Price Qty Ext.
1.          
2.          
3.          
4.          
5.          
6.          
Product Total  

Shipping: Circle one  UPS Ground (lowest rate)   UPS 3-day*   UPS 2-day*   UPS overnight*   USPS*

Shipping costs will be calculated based on weight and method of shipping and charged to your method of payment. If you would like an estimate, please call customer service 1-888-588-4272.
Tax: Only applies to packages shipped to or picked up at an Arizona address. (9.1%)

 
Total  
Mail order to: Contact Information:
 

Renstore.com
7610 E Hampton Pl
Tucson, AZ 85715

FAX 1-520 721-8346 or
phone toll-free 1-520 721-8346 or
call 1-520-721-8346
to place the order.

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