Because the FREIGHT will vary between $75 and $100 - please call for your rate.
BILL TO:
NAME __________________________________________
ADDRESS________________________________________
CITY_______________________ST_____ZIP___________
SHIP TO (no P.O.Boxes please)
NAME___________________________________________
ADDRESS________________________________________
CITY_______________________ST_____ZIP___________
DAY TIME PHONE:_____________________________________(required to process order)
| QTY | ITEM# | ITEM | DESCRIPTION | PRICE EA. | SHIPPING | TOTAL |
|---|---|---|---|---|---|---|
| _ | 00LR01 | Da LAUNCH | 3 X 4 X 6 FT | $499 assembled | Call | _ |
| _ | 00LR02 | Da LAUNCH | 3 X 4 X 6 FT | $449 parts in a box | Call | _ |
| _ | 00LR03 | Da LAUNCH | 2 X 4 X 6 FT | $449 assembled | Call | _ |
| _ | 00LR04 | Da LAUNCH | 2 X 4 X 6 FT | $399 parts in a box | Call | _ |
| SUBTOTAL | _______ |
|---|---|
| N.J Orders Add 6% Sales Tax | _______ |
| CALL for SHIPPING | _______ |
TOTAL DUE | _______ |
Type of Credit Card - _____________________
CREDIT CARD INFO: Account #__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Expiration date _ _ _ _ _ _
Signature of card holder______________________________________________________
IMPORTANT NOTICE:
The Buyer Agrees To The Following: ONLY HOT RAILS PRODUCTS ARE TO BE USED TOGETHER.
In-Line skating and skate boarding can be dangerous sports. Proper safety equipment should be always worn by all participants. Items which are ordered from this form, or from HOT RAILS, Inc., are for advanced skills skaters only. By purchasing any item from HOT RAILS, Inc., the purchaser hereby agrees to release any and all liabilities and/or claims which the purchaser may have due to injury. Purchaser agrees not to pursue any claims against HOT RAILS, Inc., except limited warranty claims of product defect. Purchaser agrees to indemnify HOT RAILS, Inc., in the event of injury to any third party which might use the equipment purchased herein. REMEMBER - YOU MUST ALWAYS WEAR PROPER SAFETY EQUIPMENT!
SIGNED:___________________________________________________________ Date:____________ (must be 18 years of age)
Now back to Hot Rails or TABLE OF CONTENTS