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HOT RAILS, Inc.

45 Park Place South Suite 101 Morristown, New Jersey 07960
Tel 973-359-9968 - FAX 201-539-9552 - or E-mail US!

PAGER ORDER FORM

Hi - We're not hooked up yet - so for now - please fill in - print out - and then Mail or Fax the form to Hot Rails.


NAME:
BILLING ADDRESS:
    Street
    Town , State Zip
SHIPPING ADDRESS:
    Street
    Town , State Zip
            Tel #  neccessary for order, color and payment confirmation

The order is for:

Naked Metal Pager with 3 FREE months service for $99


Not all colors available at all times - so we will confirm color when we confirm the order (have a second choice ready please) Today we have - BLACK, CRANBURRY (RED), BLUE and TEAL (GREEN)
Color :

QUANITY
SHIPPING and HANDLING - $7.00
NJ Residents add 6% sales tax
TOTAL


Options for continuing services:
Select one -
LOCAL METROPOLITAN AREAS -
$5.95 per month for annual billing
$6.95 per month for Bi-annual billing


Credit card information (for faxed or mailed orders only):
    Card #
    Expiration Date
Name of card holder:

please fill in - print out - and then Mail or Fax the form to Hot Rails.

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