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Customer Number: 

Company Name:  

*Contact Name:  

*Billing Address: 

*City:

*State:
*Postal/Zip Code: 

 

Country:
*Daytime Phone:

Evening Phone:
*E-Mail Address:


Shipping Information
leave blank if same as billing or mailing above
 

Company Name: 
Contact Name: 
Shipping Address:  
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Quantity Order Number Description Unit Price Amount


Be sure to full out this section for best service.

Step 1 - Back Order:

YES NO
Cancel Back Order after    //

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.
    ($10.00 minimum shipping charge, 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


We will contact you within one (1) business day regarding the shipping for your order.