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E ALLOW A MINIMUM 2 WEEKS LEAD TIME FOR ALL ORDERS Faxes: 626-934-9384, 626-934-7914 or email orders mcctest.com DATE: PO NO.: ORDERED BY: ORDERED BY (Signature Required for Confirmation): BILL TO: ADDRESS: PHONE: FAX: CITY, STATE, ZIP: DROP SHIP INSTRUCTIONS: SHIP VIA CARRIER: (Distributors must fill-in to ship to your customer via UPS, FEDEX , etc.) SHIP TO: YOUR SHIPPER ACCOUNT NO: COMERCIAL BLDG RESIDENCE SHIPPING COMPANY: PHONE: (UPS will not ship to a PO Box) ADDRESS: FAX: COM.

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