ORDER FORM                                                      DATE:______________

 

   Trevor James   

1760 Monrovia Avenue   Suite C14   Costa Mesa, CA 92627

  Phone: (949) 515-8103 Fax: (949) 515-2108

e-mail: trevorjames@trevorjames.biz

 

 

 

Customer Order #______________ Taken by:__________________Rep:__________________                                                              

Sold to:______________________________ Address:________________________________

 

_________________________________________ Telephone:__________________________

 

Fax:______________________ Contact person:______________________________________

 

Ship to:(if different from above)____________________________________________________

___________________________________________________________________________

Special Instructions:____________________________________________________________

___________________________________________________________________________

 

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©2002 Trevor James Company