To Order By Mail or Fax, Print and send this completed form to:
bike log
1805 Penfield Road
or
fax to:(585) 385-3606
Penfield, NY 14526
Send e-mail to: info@bikelog.com
Name
______________________________________________________________ |
Address
______________________________________________________________ |
City
__________________________ State _______________ Zip
_____________ |
Phone
____________________ Email
__________________________________ |
| How did you hear about
bike log? _______________________________________ |
| Please send me ______ bike
log (s)
@ $11.00 each = |
_________ |
New York State Residents
add 8 % sales tax = |
_________ |
Total Enclosed
= |
_________ |
|
$11.00 Includes FREE shipping anywhere in the USA!!! |
| Enclosed is my check,
money order or completed credit card information below. |
| Charge my credit card:
(circle one) ( include 3 or 4 digit card ID # on back or front of card)
(VISA) (MasterCard) (Discover)
(American Express) / 3 or 4 digit ID#__________ |
| Credit Card #
______________________________ Exp. Date: Mo. _______ Yr.______ |
| Signature:
_____________________________________________________________ |
|
|
|
