Reuge Order Form 

This is a secure order formAuthorized Dealer

We use a secure server that scrambles your information, so it cannot be seen by anyone after you press the "submit" button .So you may order using  your credit card with confidence and security, here online.

Or, you may print this form and Fax it to 1-888-64-FAXIT Toll Free  ( 1-888-643-2948)

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Please enter your name, address, phone numbers
and special requests below and click on Submit.
Please complete all fields marked with the asterisk " * ". Thank you.

.Last Name *  .First Name * 
.Your Address * 
 City * . .State * . Zip/Postal Code * . Country * 
 E-Mail Address * 
 Home Phone * . . Work Phone * 
 

...State * ....Zip/Postal Code * ...Country * 

 
 
 

Description 1.. .Item #   Page # 

Description 2 . .Item #   Page # 
 

. .Credit Card Numbers * 
American Express VisaMastercard Discover.

 Expiration Date * 

 Shipping US : Within The Continental USA - Free Ground Shipping
 Shipping Int : International Depending on Country and Item (Surface from $20.00)

( International orders usually arrive within 10 days or more depending on country).

Total Price ( Florida residents add 6% sales tax ). 

Special Shipping By Request : Next Day Air  Third Day 

(Shipping charges are depending on weight and destination)

(Nextday and 3rd Day =  Additional charge plus a $5 shipping and handling fee).

We appreciate your order.......Thank you

Proceed to the Submit Button : at the bottom of this form

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If You Have a Question Click Here  to email us.Please Do Not Submit this form as email Thank You!

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Special Requests. Add personal message card ( If this is a gift for someone special ).