REEL 3-D E-MAIL/FAX ORDER FORM Send Order Form and check payable to: Reel 3-D Enterprises, Inc. P.O. Box 2368 Culver City, CA 90231, USA Tel: (310) 837-2368 Fax: (310) 558-1653 E-Mail: Reel3D@aol.com Name: ___________________________________ Company: ________________________________ Address: ________________________________ City: _________________ State: ____ Zip/Postcode: ___________ Country: _____________________ Daytime Phone: (___) ________________ Fax: (___) _______________ Email: __________ |--------------------------------------------------------------------------------| |QTY| STOCK | DESCRIPTION | SHIP | PRICE | SUB | | | NO. | OF ITEM | WEIGHT | EACH | TOTAL | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | | | | | | | |---|-------|---------------------------------------|--------|---------|---------| | TOTAL SHIPPING WEIGHT FOR ALL ITEMS -----------> | |-------------------| |---------------------------------------------------|--------|-------------------| | USA ORDERS __ UPS (Regions A-D) or _ US MAIL (Region E) - pay correct amount | | | | Foreign Orders Indicate __ Sea Mail or __ Air Mail and pay correct amount | |-------------------------------------------|------------------------------------| | Charge My Credit Card: | Total Amount For | | | | Items Ordered | | | __ VISA __ MasterCard/EuroCard |--------------------------|---------| | | Calif. Deliveries Only | | | __ Discover __ JCB __ American Express | Add 8.25% Sales Tax | | | |--------------------------|---------| | ________ ________ ________ ________ | Shipping and Handling | | | | (refer to rate charts) | | | Expiration Date Required _____________ |--------------------------|---------| | | | | | Signature ____________________________ | Total Amount Enclosed | | |-------------------------------------------|--------------------------|---------| CHECK, MONEY ORDER OR CREDIT CARD INFORMATION MUST ACCOMPANY ORDER DO NOT SEND CASH ===================