If you do not want to use the credit card shopping cart, we have setup a phone (760) 721-3393
& FAX line (760) 721-3373 only for placing orders using the form below.
  Please print out  the order form below and fill in the items you want as you browse this web site.
If you have any questions, please email us at ppw-aline@att.net

ORDER DATE:

CUSTOMER:

SPECIAL INSTRUCTIONS:

 

ADDRESS:

CITY:

STATE/ZIP:

Phone:

Payment by - Check __________  MO_______  (Please Check one)


Mail Order to:
PPW-Aline
PO Box 2701
Carlsbad, CA  92018

PART # DESCRIPTION (Optional) QTY UNIT $$ TOTAL $$
         
         
         
         
         
         
         
         
         
         
         
         

Product Subtotal

  $
CA Shipments Add 7.75% Sales Tax   $

Shipping Charges
Actual shipping charges, plus a $5.00 handling charge, are added for addresses outside of Continental US.

$8.00 Continental USA

Total Order   $
       Thank you for your order!!                                    Amount Enclosed  

We try to keep this site up to date. However item availability & prices are subject to change without prior notice. Please contact us if you have any questions.

Email ppw-aline@att.net

Ordered Through Web Site