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Billing or Mailing Information
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Customer Number: 

Company Name:  

*Contact Name:  

*Billing Address: 

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*Postal/Zip Code: 

 

Country:
*  Daytime phone:

Evening Phone:
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Shipping Information
leave blank if same as billing or mailing above
 
Company Name: 
Contact Name: 
Shipping Address:  
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 State:
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Quantity Order Number Description Unit Price Amount

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Number Only

 Unit Description Please include size and color. Per Item  


Be sure to full out this section for best service

Step 1 - Back Order:

YES                     Cancel Back Order after    //
NO

Step 2 - Shipping Method:

For packages longer than 40" please contact us for shipping charges.

UPS
FED EX
PRIORITY MAIL
OTHER

Step 3 - In case of under payment:

Ship C.O.D. (UPS has an additional charge of $9.00 for C.O.D.'s)
Hold order and send bill for amount due
Contact directly Phone number:
Under payments often happen, because of price increases, shipping underpayments on heavy merchandise, or additional errors.

Subtotal:

California Residents Only - Add Sales Tax for your area (7.75%-8.25%)

Estimated Shipping Charges:   

  • Shipping charges vary dependent upon size and  weight of merchandise and shipping distance.  We will contact you with cost and options. ($9.50 minimum shipping charges, regardless of how small your order is)

 

   Estimated Total amount order:

Credit Card:   Visa    MasterCard     Discover    
Amex

For credit card orders.  Credit card details are handled by phone for security reasons.

 

We accept all major credit cards:

If paying by check, please send it to:

Frank's Cane and Rush Supply
7252 Heil Avenue
Huntington Beach, Ca 92647
Fax 714-843-5645
Phone 714-847-0707


Please allow 1 to 2 weeks for delivery