If you would like to Fax your or

If you would like to Fax your order to us. Please print this form and fill it out by hand. You MUST please print legible or a mistake can occur. This is the # 1 reason for mistakes and delays. Our Fax machine is in a secure office so you can fax your order with safety assured. Fax to 805 527-8837

NAME

SHIP TO ADDRESS
BILL TO ADDRESS If differnt

SHIP TO CITY, STATE, POSTAL CODE
BILL TO CITY, ST, ZIP if different
DAY TIME PHONE NUMBER
FAX NUMBER

E-MAIL ADDRESS
Visa or Master Card Number We do not take AMEX or Discover		Expires: Month/ Year/
PayPal Accounts, CHECK HERE _____	If you would like to pay by PayPal. Fill out this order sheet, fax it to us them make a deposit to npt@sbcglobal.net Mark a check mark to the left to note that you made a deposit.

Please fill in the boxes below. Shipping charges are on our shipping page. If you do not want to total your order we will do that for you.

Part Number	Quantity	Price Each	Total








		Ca. add 7 1/2% tax
		Shipping Charge
		Grand Total