Order Form
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Name:_________________________________
Mailing Address:_______________________________
City:_____________________State:_________________ Zip Code:_____________
Country:___________________Phone no./Email address:____________________________
Item Qty Price Total
_________ _______ _______ _______
_________ _______ _______ _______
Sub total: _______
Sales Tax (8.25%) Texas only: _______
plus shipping: _______
Grand Total: _______
Please select your payment preference.
( ) Check/Money order made out to PM ENTERPRISES
( ) Visa Card ( ) Master Card ( ) American Express ( ) Discover Card :
Card #_____________________________________ Exp. Date (mm/yy)________________
Billing Address:_______________________________________________________________
Name on Card: ______________________________Signature :___________________________
Mail this form and payment to our address below, credit card orders can fax to:Fax: (903) 704-0963PM Enterprises
1010 S. Chilton Ave
Tyler, TX 75701
USA