ZENITAL INC.

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Bash Mail Order Central (BMC)
10135 Rose Ave.
El Monte, CA 91731
Tel & Fax: (877) 711-2130
 

SOLD TO:
 

SHIP TO:

 

Item No.

Description

Colors

Q'ty

Unit Price

Amount

           
           
           
           
           
           
           
           
           
           
Merchandise Total:  
Sales Tax (9.25% for CA. Residents):  
Shipping Charge (via UPS, USPS):  
Total Amount:  
Method of Payment (Credit Card/Money Order/Check):  
Credit Card Type (Visa/ MasterCard):  
Credit Card Holder Name:  
Credit Card Number:  
Expiration Date:  
Credit Billing address (if different from SOLD TO address)  
Signature of Cardholder:  

Thanks for Your Order

 

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Copyright © 1998 Zenital Inc.
Last modified: July 20, 2011