Filters-NOW.com

1-877-991-0400

FAX and MAIL Order Form

To order by FAX, fill out this form and fax it toll-free to 1-888-823-6475. If ordering by MAIL, fill out this form and send it along with your check or credit card information to:

Filters-NOW.com -- 9800 I-65 Svc Road N -- Creola, AL 36525

Billing Information:

Name: _________________________ Address: _________________________________

Apt/Suite: ________ City: ________________________ State: _____ Zip: ___________

Shipping Information: (If different from above)

Name: _________________________ Address: _________________________________

Apt/Suite: ________ City: ________________________ State: _____ Zip: ___________

Contact Information:

Daytime Phone: ____________________   Email: _____________________________

Credit Card:

Type: ______ Visa   ______ MasterCard   ______ American Express   ______ Discover

Card Number: __________________________ Expire Date: (mm/yyyy) ___/_____

Product Information:

Item #1:

Manufacturer: _______________ (3M, Filters-NOW, Scotch-Brite, Honeywell, etc.)

Item: ______________________ (Filtrete 1250, Accumulair Gold, Lens Cleaning Cloth, etc.)

Size: ________x ________ x ________

Number of filters: __________ Price per filter: __________ Total Price: __________

 

Item #2:

Manufacturer: _______________ (3M, Filters-NOW, Scotch-Brite, Honeywell, etc.)

Item: ______________________ (Filtrete 1250, Accumulair Gold, Lens Cleaning Cloth, etc.)

Size: ________x ________ x ________

Number of filters: __________ Price per filter: __________ Total Price: __________

 

Item #3:

Manufacturer: _______________ (3M, Filters-NOW, Scotch-Brite, Honeywell, etc.)

Item: ______________________ (Filtrete 1250, Accumulair Gold, Lens Cleaning Cloth, etc.)

Size: ________x ________ x ________

Number of filters: __________ Price per filter: __________ Total Price: __________

 

Order Totals:

Product Cost Add the total price of filters listed above: $ ___________
Shipping & Handling * Please see shipping info on the web site * $ ___________
Total of Order Add product cost plus shipping and handling: $ ___________

If you have questions, please feel free to call toll-free 1-877-991-0400

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