PLEASE REVIEW TERMS AND CONDITIONS BEFORE ORDERING

ORDERING:

You may place an order by e-mail, telephone, or fax. If possible, make a copy of this order form on your printer and use it for a fax or letter order.

Description                           Quantity   Price     Total

___________________________________  _________  _______  __________

___________________________________  _________  _______  __________

___________________________________  _________  _______  __________

___________________________________  _________  _______  __________
                                         
                                                Subtotal___________
                     Sales Tax (7.00% for CA residents) ___________
                       Shipping, handling, and insurance___________
                                            GRAND TOTAL ___________

ORDERED BY:

NAME:    _____________________________________________________
ADDRESS: _____________________________________________________
         _____________________________________________________
CITY:    _____________________STATE:_______   ZIP:____________
COUNTRY:______________________________________________________
Telephone:___________________ 
E-mail address:_______________________________________________ 
                  PLEASE CIRCLE PAYMENT METHOD:

                     CHECK     MONEY ORDER 
                          
E-MAIL, MAIL OR FAX YOUR ORDER TO: AMERICAN ICON, 1333 Terminal St.,    
                               West Sacramento, CA 95691
                                   916-374-9110 FAX 916 374-9156
                                   amricons@ix.netcom.com 

PRICES MAY CHANGE WITHOUT NOTICE.

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