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FAX ORDER FORM
Toll Free 1.866.829.6522
 
 
PDlogo
Fax Order Form
Please complete this form and fax to 972-398-3889
or mail with company check to:
Perfect PD Ruler
P.O. Box 863838
Plano, TX  75086-3838
   
Name of Business:
Address:
   
Contact Information:  
Contact Person:
Phone Number:
Email Address:
   
   
Credit Card Payment:
Card Holder:
Number:
Expiration Date: (MM/YY)
CSC Code: (3 or 4 digit)
Billing Address:


   
Special Instructions:
   
Standard Rulers 0
Custom Rulers 0
Setup Fee $0.00
Shipping & Handling $0.00
Tax (Only for Texas residents)
Total $0.00
   
Transaction Authorized By:
Print Name:
Title:
Date:
   
   


 
©2005 Perfect PD Ruler – An ADS Eyewear Company