|
The BATTERY TOOL ORDER FORM
| Name |
|
| Street/PO Box |
|
| City |
|
| State |
|
Zip |
|
| Daytime Phone |
|
| Credit Card (Circle) |
VISA |
MasterCard |
Discover |
| Credit Card Number |
|
Exp: ____/____ |
| Signature (Req. for credit
card orders only) |
__________________________________________________________ |
|
| Item |
Quantity |
Price |
Total |
| BATTERY TOOL w/leads |
|
58.95 |
|
| 4-pc universal Test Lead Set |
|
15.95 |
|
| |
|
|
|
|
Shipping & Handling charge* |
$5.00 |
|
Total Enclosed/Authorized |
$ |
*free S&H
when you order tool and lead set at same time
|