order form

	Order Form

Fax to: 1(877)248-5932 Mail to: Hillard Gerhardt 182 Pinon Trail Cedar Crest, NM 87008

Phone Number:

Email address:


	Date:

Additonal information:

New Mexico residents will be charged 5.375% sales tax


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Keep this lower portion for your records

Order Date:

Phone: 1(505)281-2532
Fax: 1(877)248-5932
Hillard Gerhardt
182 Pinon Trail
Cedar Crest, NM 87008
email: Hillard@lwing.com

Please allow 6 - 8 weeks for delivery. Confirmations are mailed upon receipt of order.