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Send or Call Order To:
Bowser Mfg Co Inc,    1302 Jordan Ave.,   PO BOX 322,  MONTOURSVILLE,  PA  17754

      PHONE:         570-368-2379:   Monday to Friday  9:00 to 5:00 Eastern Time
      Order Line:       800-327-5126:   Monday to Friday  9:00 to 5:00 Eastern Time
      FAX:              570-368-5046:    (24 hours a day)

Retail Orders include $9.95 for shipping and handling.   $9.50 Shipping and handling for PO Box or
Parcel Post addresses.
    PA Residents include 6% sales tax.   Discover, Visa & MC Accepted.
           
Name:                                                      Visa, Master Card, Discover #:
Street:                                                                                                          
Street                                                              Expiration Date:                    
City, State, Zip :                                              C v v #                                  
___________________________________ (last 3 numbers in signature block on the back of the card)
Phone Number:      
                                                

Quantity                 Part #                       Description                                                                 Price                   Total         
Ordered                                                                                                                                      Each                    Price        
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                    

                                                                             Sub Total                                                        

                                                                             Shipping & Handling                                         

                                                                             PA Sales Tax (if in PA)                                    

                                                                             TOTAL