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| Date |
| Name Title |
| Name of Company |
| Street Address |
| City/State/Zip |
| Telephone No. Fax: e-mail: |
| Method of Payment: [ ] Check [ ] Money Order [ ] Cashier's Check |
| [ ] VISA [ ] MasterCard [ ] American Express [ ] Discover |
| Name of Issuing Bank: |
| Credit Card Number: Exp. Date: |
| Name on Card: Signature Required: |
| Amount Prod. Code Titles of Books, Manuals, Software, Videos, Courses, or Other Product Description |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $_____________Subtotal |
$_____________Shipping & Handling: Books: Priority shipping: $10.00 for the first book and
$2.00 for each additional book. Allow 2-4 business days. For the BSC book, shipping is $15 for the softbound and $17 for the hardbound. |
| International: $29.00 for up to 4 pounds. |
| $_____________Total |
| Payable in U.S. funds only. (Drawn on U.S. bank). Prices are subject to change. Sorry, no C.O.D. |
| I understand that my complete satisfaction is guaranteed. I may return the book or manual in resaleable condition in the same package as I received it within two weeks for a refund minus 20% restocking fee and shipping costs. |
| No returns or refunds on software or videos. |
| Orders paid by personal check or business check: Allow 14 business days. |
| Orders paid by money order, cashier's check, government check, or credit card: Allow 2 to 5 business days. |
Clean-Pro Industries, Inc.
PO Box
6350
Portland, Oregon 97228-6350
Tel:
(503) 289-0063
FAX: (503)-289-0055
www.cleanpro.org