| ORDER FORM Fax numbers: 317.687.2840 or 317.635.2720 | THE GEORGE F. CRAM COMPANY P.O. Box 426 Indianapolis, IN 46206 |  |
| ORDER FORM Fax numbers: 317.687.2840 or 317.635.2720 | THE GEORGE F. CRAM COMPANY P.O. Box 426 Indianapolis, IN 46206 | |
| Name: | Date: | ||
| Bill to: | Ship to: | ||
| Attn: | Position: | Attn: | Position: |
| Street: | County: | Street: | County: |
| City: | State: | City: | State: |
Tel. No.: ( ) | Zip Code: | Tel. No.: () | Zip Code: |
| QTY. | PRODUCT CODE | DESCRIPTION | UNIT PRICE | TOTAL PRICE |
|---|---|---|---|---|
| TOTAL OF ITEMS ORDERED | ||||
| ADD SALES TAX 5% (AR, CA, IN, NC, SC ONLY) | ||||
| Prices are F.O.B. Factory,Indianapolis,Indiana. All orders within contiguous United States (Excludes Alaska and Hawaii) add 10% for shipping and handling charge. Outside the contiguous United States, please inquire on shipping and handling | ||||
| Expedited Service Handling-Charge of $25.00 is applicable if a specific ship date is required and /or an expedited shipping service is requested. |
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| TOTAL AMOUNT OF ORDER | ||||
| [ ] HAVE A CRAM REPRESENTATIVE CONTACT ME | ||
| [ ] PAYMENT ENCLOSED | [ ] BILL US: PO NUMBER: _______________________ | MINIMUM ORDER: $25.00 |
| [ ] MASTERCARD | [ ] VISA | Our typical lead time to process |
| [ ] AMERICAN EXPRESS | [ ]DISCOVER | and ship is 15 working days. |
| Credit Card Number: | Authorized Signature: |
| Expiration (Date/Month/Year): | Title: |