CompositePro

Product Order Form

Complete this form then Mail or FAX to:

Peak Composites, Inc.
13299 West 84^th Place
Arvada, Colorado 80005
PHONE: (303)-973-3032 FAX: (303)-972-9720

sales@compositepro.com

Name:

Organization:

Mailing Address:

City:

State/Province:

Zip Code:

Country:

Telephone:

Fax:

Email:

I would like ________ copy(s) of CompositePro US $595

I would like my order shipped via:

_____ First Class Mail (2 weeks) - FREE (All non-US orders add US $10)

_____ Federal Express (next day) - $22 (US Only)

_____ Priority Mail (2^nd Day Air) - $8 (US Only)

_____ UPS (1 week) - $10 (US Only)

Colorado residents add 4.8% Sales Tax to total

I enclose a Check / Money Order / Credit Card Authorization in the total amount of _______ in US Dollars.

(All checks must be drawn on a US Bank)

Credit Card Information
Card Type: ___ Visa ___ MasterCard ___ American Express

Cardholder Name:

Card Number:

Expiration Date:

Signature:

I understand that my order will be processed within 48 hours. (24 hours for FedEx deliveries.)

Thank you for your order!

E-mail us if you have any questions.