Bowser Ordering Form    Use your print command to print this form.

Our web site is NOT set up for secure processing.   So . . . Please use this form to FAX, CALL or MAIL your order to: Ordering terms and Conditions: • Retail orders: Please include shipping and handling charges. • Foreign orders: Customer is responsible for all shipping/handling. • PA residents must include a PA sales tax. • Money Orders, Checks, Discover, VISA & Master Charge accepted. Name: _____________________________________________________________ Street: _____________________________________________________________  City/Town _______________________________  State: _____  Zip: _________ Visa, Master Card or Discover Card#: _______________________ Expiration Date (mm/yyyy) : _________ Quantity Ordered Part # Description Price Each Price Total _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ Sub Total of Items Ordered: $ (USD) ________ Shipping & Handling: $ (USD) ________ PA Sales Tax (if in PA): $ (USD) ________ Grand TOTAL of Items ORDERED: $ (USD) ________