MAIL IN - Order Form-Commercial Filters

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You may fax this completed page if paying by credit card 24/7 to: 1-386-490-4033.
Orders are processed 24 hours a day for fast delivery, you will 
receive an email order confirmation within 24 hours of your fax.
DIRECTIONS:
Print this page. Right click on your mouse and select print.
Simply fill out form and mail it. Allow 5 days for processing if paying by check.
If you need more room attach additional pages.

Make Checks Payable to:
Mail to:
A  E  Services
PO BOX 300007
Fern Park, Florida 32730-0007

 

  PLEASE PRINT THIS PAGE AND FILL OUT:


   HIGHEST PRICE FILTER FIRST, ADDITIONAL FILTERS RECEIVE 20% OFF

   FIRST FILTER TYPE       CIRCLE SELECTION            MESS     BAFFLE

   LENGTH_________________  WIDTH___________________ Circle Thickness   1"      2"

   PRICE$_________

  ADDITIONAL FILTERS RECEIVE 20% OFF DISCOUNT

 

   ADDITIONAL FILTER TYPE       CIRCLE SELECTION        MESS     BAFFLE

   LENGTH_________________  WIDTH___________________ Circle Thickness   1"      2"

   PRICE$_________

   ADDITIONAL FILTER TYPE       CIRCLE SELECTION        MESS     BAFFLE

   LENGTH_________________  WIDTH___________________ Circle Thickness   1"      2"

   PRICE$_________

  ADDITIONAL FILTER TYPE       CIRCLE SELECTION        MESS     BAFFLE

  LENGTH_________________  WIDTH___________________ Circle Thickness   1"      2"

  PRICE$_________
 
  Add pages if you need more filters.

 Merchandise TOTAL:$___________
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  SHIPPING: CIRCLE or UNDERLINE YOUR SELECTION
 How would you like your part/s shipped?
  Free ground shipping for all filters over $150 to the 48 states.
  Shipping times are for after the filter is made. Usually filters are made in 1 day.

Free UPS Ground Shipping, 48 States - My Order Is Over $150.
$13 - UPS Ground 48 States
$60 - Hawaii-Alaska (Air)...2-7 Days
$44 - Canada Delivery UPS, 1-7 Days
$41 - US Military Bases Outside The 50 States, Guam Etc
$65.00 - Overseas Delivery Postal, 3 - 10 Days

 Total Order After Shipping Charge $_______________________

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  BILLING INFORMATION:
 

  Your email address for an invoice we will send to you by email.

 ______________________________@___________________________

 Name. ___________________________________________

 Street Address.______________________________________________


 City.____________________________   State.___________________

 Info for non USA or APO. __________________________________________ 

 Zip______________________     
 

  Home Phone______ ______ _______ Work Phone______ ______ _______


  SPECIAL INSTRUCTIONS OR DIFFERENT SHIPPING ADDRESS.

  ________________________________________________________


 ________________________________________________________

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  PAYMENT:

 Card Type. Card Number.
 ________________ ____________________________

 Expiration Date.            Name (as it appears on card).
 _______ / ________      ___________________________________

  Card Holders Signature X_____________________________________

  For questions call : 1-702-990-0683. Outside USA 1-702-990-0683
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  FOR OUR RECORDS. Please let us know why you have chosen to use our fax in form
  instead of ordering on   our secure online order form. Have you had any problems with our online order  form?

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                PLEASE FAX 24/7 to 1-386-490-4033 or send a check by mail.