TCBsupply.com 303 Truman Ave. Grants, NM 87020 505-287-2371 Fax:614-453-4104		Mail in Order Form
ORDERED FROM Name: _______________________________________ Address:_____________________________________ City: _______________State: _____Zip_______ Phone: __________________ E-Mail Address____________________________ Today's Date: ____________			Ship to if different Name: _______________________________ Address:______________________________ City: _______________State: ______Zip_______ Phone: ____________________

Code	Description	Qty.	Pr. Ea.	Total
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
_____	_____________________________________	___	_____	_____
		Total		_____
				_____
	Minimum $7.00, $9.00 on Bis Kit or 15% of Total - Which Ever is Greater	S/H		_____
	All Orders must be paid in advance. Sorry NO COD's	Total		_____
*International Customers $9.00 Minimum or 25% to Total Which Ever is Greater

Mail your order along with payment to the address above. Thank You for Your Order!
By TCBsupply.com
Email: tcb@tcbsupply.com