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QUANTITY
MODEL
DESCRIPTION
UNIT COST
COST
Total From Above $
Tax (Texas Only - 8.25%)
Add Handling Charge
$5.00
UPS Freight Charge
TOTAL
Mail To: Jumpking, Inc.
OR
Fax Order With Credit Card Number
901 W. Miller Road.
TO: 972/494-2726
Garland, TX 75041
Method of Payment: (No C.O.D.'s)
Master Card/Visa # _________________________________________ Expiration Date ___________________
DISCOVER #
______________________________________________ Expiration Date __________________
Cashier's Check or Money Order (Driver's License # ________________________________________ )
Upon Processing Your Order We Will Send an Acknowledgement. If You Have Not Received Your Merchandise
Within 30 Days Feel Free To call Us at 800/322-2211.
ORDER FORM
Name ______________________________________________________________________________________
Street ______________________________________________________________________________________
City ________________________________
State _____________ Zip _____________
Home Phone # ( ) _________________________
Business Phone # ( ) _________________________
Ship To: (If different from above) Physical address: We cannot ship to P.O. Box
Name ______________________________________________________________________________________
Street ______________________________________________________________________________________
City ________________________________
State______________ Zip _____________
Home Phone # ( ) _________________________
FOR ANY PART WE MUST HAVE THE FOLLOWING:
Physical Frame Diameter of Trampoline
Physical Total Spring Count of Trampoline