| Southern California (Outside 40 Mile Radius) | Minimum $1,000.00 | 5% Freight Guaranteed |
| Northern California, Las Vegas | Minimum $1,000.00 | 10% Freight Guaranteed |
| Oregon, Washington, Nevada | Minimum $1,000.00 | 13% Freight Guaranteed |
| New Mexico, Utah, Arizona | Minimum $1,000.00 | 15% Freight Guaranteed |
Please submit the signed aggrement and your resellers permit along with the order form. We cannot process orders without first obtaining this information. You can print this page by pressing the 'print' botton below and fax to 562-949-2038.
Company Name________________________________Contact Name____________________
Address______________________________________________________________________
Phone Number_________________________Fax Number_____________________________
I have read, understood, and agreed to the terms and policies stated above.
Signature________________________________________Date________________________