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For Your Order
For Assistance:
Phone: 1-800-522-8863 • FAX: 1-707-725-9060 • Web: ccrane.com
Mail to: C. CRANE CO. INC., 1001 MAIN ST, FORTUNA, CA 95540-2008
ORDER FORM (
Please Print)
Name
Street
City
Area Code / Phone
( )
Apt. No.
ZIP
State
Name
Street
City
Area Code / Phone
( )
Apt. No.
ZIP
State
Qty
Item #
Description
Each
Total
Please help and let us know where you heard about us:
We do not release your information to anyone without your OK.
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Method of Payment:
Check Money Order
DISC / MC / VISA
Card Number
Exp. Date
/
/
//
Subtotal
If shipping to Calif., add Sales Tax @ 7.25%
Shipping Charges
Total
Signature
Ship to:
Bill to:
(mailing address)
Order Information:
Same address This is a gift order
Ship order completeShip as items are available, or
Magazine / Other / Friend
Radio Show, host or station?
Customer Number (from back cover)
Web
(See other side for additional Shipping Information)
#19F
Which one?
Website?
Please do not staple, tape or paper clip your order form. Also, please DO NOT send cash.