MAIL ORDER FORM
Eagle's Talon Production Inc. - BassLine SpeakerPanels
655 Dogwood Cres. Gabriola Island, British Columbia, Canada, VOR 1X4
 
I am an:  Individual Purchaser     Retail Outlet     Manufacturer
 

   Corporate Information: (individuals may skip this section)
Company Name:
Contact Name(s):
Position:
_______________________ Description: __________________
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________________________________  PIN#: _____________
 

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__________________ State/Prov: ______ Zip/Postal: __________
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Item:
Qty
Unit Price*
Ext Price
  BassLine Starter Kit (15 panels) ___ x $34.95USD (includes $15.00 shipping)   = __________
  BassLine Starter Kit (30 panels) ___ x $59.95USD (includes $20.00 shipping) = __________

* all prices include Shipping and Handling

 Subtotal: __________
Payment Enclosed: __________
Payment Options:
Money Order    Bank Draft    International Letter of Credit 

Upon receipt of payment you should expect 4-6 weeks delivery. For expedited delivery
please supply us with FedEx, or other courier number. No COD orders please.
Copyright Logo Trademarks registered to Eagle's Talon Productions Inc. BassLine SpeakerPanels - International Patents Pending