220 Rosewood Court
Westmont, Illinois 60559 USA
Voice: 630-323-3590
Fax: 630-323-3591
E-mail any questions to:
paul.sherman@clean-n-brite.biz
Please send my order of CLEAN-N-BRITE
to:(Please Print)
Name:_____________________________
ORDER
FORM
To Order,
just print this form, complete it, and mail to:
CLEAR-SIGHT, INC.
220 Rosewood Court
Westmont, Illinois 60559 USA
Voice: 630-323-3590
Fax:
630-323-3591
E-mail any questions to:
paul.sherman@clean-n-brite.biz
Please send my order of
CLEAN-N-BRITE to:
(Please Print)
Name:_____________________________
Street Address:______________________
City:______________________________
State:_____________Zip:_____________
Country: __________________________
Make checks payable to Clear-Sight, Inc.
| ___ Payment enclosed |
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| ___ Send C.O.D. (add $5.00 for C.O.D.) |
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