Print and fill out this order form then mail it to
Quantity.|...........Description...............|..Stock#.|..Price.|. Ext.
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Add $5.95 Shipping & Handling on orders
Sub Total ...................................................................|_________
Sales Tax (Massachusetts Residents.0625%..........|_________
TOTAL ORDER................................................................
Enclose your check, payable to the order of . Don Guerette
less than $100 ........................................................|_________
All parts orders require your fan MODEL #_______________SERIAL#___________
These numbers can be located on the Casablanca name plate, just below the blades.
YOUR NAME:________________________________________
ADDRESS:__________________________________________
CITY, STATE, ZIP:_____________________________________
PHONE:_____________________________________________
EMAIL:______________________________________________