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Kits: Porting & Polishing
Specialty Products
Order Form
CHA Home Page Company Policies Order Form

Print out, fill out, and fax to CHA. (Download PDF)

ORDERED BY:
Company:
Name:
Address:
City: State: Zip:
Telephone: Fax:

SHIP TO: If different from "ORDERED BY"
Company:
Name:
Address:
City: State: Zip:
Telephone: Fax:

Qty. Prod. # Product Name Price Ea. Total Price
         
         
         
         
         
         
         
         
  Subtotal  
Sales Tax (CA add 7.75%)  
Shipping  
Total Amount  
Shipping:   Ground
  3-Day
  2-Day
  Next Day

Download Order Form PDF

Terms:   COD
  Check
  Visa
  Mastercard
  American Express
Card Number:
Expiration Date:
Card Security code:
Signature:
916-638-1212