Order by e-mail and you'll receive a 10% discount!
ORDER FORM
Name:............................................................................................
Address:........................................................................................
City:.................................. State:............... Zip code:..................
Telephone:....................................................................................
E-mail address:.............................................................................
For Plumber's (minimum order one electric and one gas model) please fill in the following:
License Number:...........................................................................
Where registered:.........................................................................
Name of Business:........................................................................
Business License No.:..................................................................
City of Registration:.....................................................................
Item Price Quantity Total
SNOUT™ for Gas Water Heater $73.95 x .......... = ..........
SNOUT™ for Electric Water Heater $73.95 x .......... = ..........
Discount -10% (only by e-mail!!) -$7.40 x .......... = ..........
Plumber's discount -$10.00 x .......... = ..........
(Applicable only to Plumbers!)
_________________________________________________________
Subtotal ..........
_________________________________________________________
Shipping & Handling $6.00 x .......... = ..........
Tax (6% for Michigan residents only) ..........
_________________________________________________________
Total: ..........
Check one: ........ payment enclosed (check or money order)
Charge my ........ Visa ........ Mastercard.
Card number:................................................ Exp. date:....................
Signature:......................................................
Copy this ORDER FORM into your e-mail!
Send your order to: [email protected]
Or fax your order to: (734) 641-8594
Or mail your order: Enclose a check or money order, together with the printed out order form, to: Morning Star Rising, Inc. P.O. Box 332, Hartland, MI 48353
Send no cash please.