CHECK OR MONEY ORDER PAYABLE TO:                                                                                                                 <BACK TO MAIN
SHANE, INC.
P.O. Box 1356 
Coventry, RI 02816
  Tel: 1(401) 822-4590   Fax: 1(401) 822-4860
 
AITP PURCHASE ORDER FORM
Expected Delivery:  2 - 4 Weeks after order received. PLEASE CALL FOR RUSH ORDERS
(type or print clearly)

COMPANY:
  __________________________________________
 
  SHIP VIA:  UPS [   ]    Parcel Post [   ]    Residential [   ]


NAME:
   _____________________________________________
 
 Order Is Needed By:
_____________________________


CHAPTER:
  __________________________________________
Shipping & Handling Rates:


ADDRESS:
___________________________________________
        $0.00  -  $49.99       S&H Rate $7.50



CITY, STATE:
 _________________________________________
        $50.00  -  $249        S&H Rate $10.25



ZIP:  ____________
    COUNTRY:  ______________________
        $250  -  and up>        S&H Rate $12.50



PHONE:
  ____________________________       EXT: __________


EMAIL:
  _____________________________________________
Residential Delivery Add $1.50 Extra
   International Orders will be advised
You will be advised if the delivery date cannot be met.
PLEASE LIST ITEMS TO ORDER BELOW:
ITEM #QUANTITYUNIT PRICEENGRAVINGFax or Mail This Order Form To:

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$__________
1.401.822.4860


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$__________


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PO Box 1356 . Coventry . RI . 02816

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$__________

$__________
Orders must be followed up
with a check or money order.
No credit cards accepted.
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$__________

$__________
CHECK OR MONEY ORDER PAYABLE TO:  SHANE INC


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$__________

$__________
aitp logo


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$__________

$__________


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$__________

$__________


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$__________
(Engraving 13 per character)

Add the Total Unit Price with the
Total Engraving and S&H Rate to
Calculate Grand Total >>>>>>>>


TOTAL_
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TOTAL
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S&H:
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Use Page 2 for
Engraving Information Only

GRAND TOTAL =

$______________
           






SHANE, INC.
P.O. Box 1356  
Coventry, RI 02816
  Tel: 1(401) 822-4590       Fax: 1(401) 822-4860
AITP ENGRAVING FORM
Use This Form For Specifying Engraving Information

Engraving Charge:  .13 per character  (punctuation and spaces not included)

ITEM # _________     Please Type or Print Clearly                      

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ITEM # _________     Please Type or Print Clearly                      

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ITEM # _________     Please Type or Print Clearly                      

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ITEM # _________     Please Type or Print Clearly                      

Line 1: __________________________________________


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Line 3: __________________________________________


Line 4: __________________________________________


Line 5: __________________________________________
ITEM # _________     Please Type or Print Clearly                      

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ITEM # _________     Please Type or Print Clearly                      

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