Airparamo Product Order Form

Sold To:

Name:
Address:  
City:   State:   Zip:  
Phone: You must include your phone number!
Email:  
Please Note: We do not trade, sell or give any of your personal information to anybody! We also value our privacy.
Ship Order To: If same as above, leave blank

Name:
Address:  
City:   State:   Zip:  
Phone: You must include your phone number!
Email:  

Order Details:
Description Quantity Price Total
    $ $
    $ $
    $ $
    $ $
    $ $
    $ $
    $ $
    $ $
Subtotal of Order: $
AZ Sales Tax 7.7% (If purchased in AZ): $
Shipping:
(From shopping cart page or call or email for personalized quote)		 $
TOTAL $

Payment Details:

Print out this order form, and send it along with your check or other payment to:
Airparamo, PO Box 1200, Maricopa, AZ 85139, USA

I have enclosed $__________ as payment in full. Make check payable to Airparamo.

Or, charge my order to my credit card indicated below:
Credit Card (Circle One): Visa, MasterCard, Discover, American Express
Card Number ____________________________ Expires __________
Phone Number (_____)____________________ CVC _______
Name on Card _______________________
Signature ________________________

Please call 602-692-7995 if you have any questions or comments.