RANCH
MANAGER – LION EDGE MAIL/FAX ORDER FORM
PRINT AND COMPLETE THIS FORM AND
EITHER MAIL OR FAX USING THE INFORMATION PROVIDED BELOW |
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Name: |
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Ranch Name: |
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Shipping Address: |
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City: |
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State: |
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Zip Code : |
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E-Mail: |
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Phone Number: |
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How did you hear about us? |
□ Newspaper □ Magazine □
Search Engine (AOL / Google / MSN / Yahoo) □ Flyer □ Online Ad □ Trade
Show □ Other (Specify):
_______________________________________ |
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Method of Payment: |
□ Visa □ MasterCard □
American Express □ Discover Card □ Check |
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Purchase (Please select one or more) |
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□ Cattle
Edition □ Sheep Edition □ Goat
Edition □ Equine Edition □ Wildlife
Edition FOR RANCH MANAGER: POCKET EDITION ORDERS AND PRICING PLEASE CALL US AT 720.222.0681 |
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Pricing (US Dollars) – Shipping is Free |
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Any 1
Item: $99.99 | Any 2 Items: $149.99 |
Any 3 Items: $199.99 | Any 4 Items: $249.99 | All 5 Items: $299.99 |
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Credit Card Information (Omit if paying by check) |
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Credit Card Number: |
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Expiry Date: (Month) |
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(Year) |
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Card Verification Number: |
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(To find
the Card Verification number: enter the last 3 digit number on the back of
the card near the signature line. It appears after and to the right of
your card number. For AMEX card users it is the 4 digit number at the
front of the card. It appears after and to the right of your card
number) |
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Mail Orders (Send To): |
Fax Orders: |
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Lion Edge Technologies 7663 S. Duquesne Way |
1-303-699-5485 |
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Authorization: |
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Purchaser Signature |
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Date: Month / Day / Year |
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THANK YOU FOR YOUR PURCHASE
If you
have any further questions please call Lion Edge Technologies at 720-222-0681,
or visit http://www.lionedge.com |
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