Please fill out this form,
print and mail or fax to:
Aztec Manufacturing
2701 Conestoga Drive, #113
Carson City, NV 89706 USA
Phone:
Fax:
1-775-883-3327
1-775-883-3357
Name
Address
City
State
Zip Code
Country
Phone Number
Fax Number
E-mail
Part Number
Description
Qty.
Unit
Price
Extended
Price
Subtotal
Sales Tax (Nevada residents only add 7.475% sales tax)
Shipping within the U.S.A.: Add
$7.00
Shipping to Canada:
Add $9.00
Shipping to all other countries:
Add $14.00
Shipping (See left)
Total
Payment Method:
Check or Money Order (in U.S. funds) payable to Aztec Mfg.
Visa
MasterCard
Discover
Credit Card Number:
Expiration Date:
Security
Code:
Authorized Signature:
(The 3-digit security code can be found on the back of your card.)
IMPORTANT: DCC FRAMES ARE SOLD ON AN EXCHANGE BASIS ONLY. Be sure to remove all nuts, screws and clips before sending in your frames.
