Silvana USA, Inc.
Free Shipping within Continental U.S.A.; 3 Year Limited Warranty

 

 

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Order Form

           

You can place your orders online, call our customer representatives at 1-800-618-2226, E-mail us at orders@silvanaUSA.com , or print a copy of this form and fax it to us at 213-629-8255.  Orders will be confirmed prior to charging the credit card.

Item

Size

Color

Description

Qty.

Price

Subtotal

Total

8.25% Tax for CA orders

Grand Total


Shipping Information


Billing Information

Name
 
Address
 
City & State

Zipcode

Contact Number
 
E-mail

Cardholder's name
 
Type of credit card
Visa Mastercard Discover American
Card number
Card expiration date
 

***Shipping is free within the Continental U.S.A.  For other shipping charges and availability, please contact our Sales Department at 1-800-618-2226.


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Copyright © 2000-2002 Silvana USA, Inc.  All rights reserved.
Last modified December 06, 2004 .