Print and fill out this order form then mail it to

Don Guerette

9 Bowdoin Street . Danvers, MA 01923

978 774 7801 . Donald@bostonplus.com

 

Quantity..|.............Description...............|..Stock#..|..Price..|.. Extention

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Add $5.95 Shipping & Handling on orders
less than $100........................................................................|_________

Sub Total ................................................................................|_________

Sales Tax (Massachusetts Residents 5%)........................|_________

Order Total.................................................................................|_________

Enclose your check, payable to the order of . Don Guerette

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:______________________________________________


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