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J.H. WILLIAMS SUPER PALMSTER
POCKET RATCHET AND RATCHET KIT

ORDER FORM

PLEASE FILL OUT THE FORM BELOW TO  

COMPLETE YOUR SUPER PALMSTER KIT ORDER.
PRICE = $89.00 US
DELIVERY: WILL ADVISE
Palmster Kit

Williams Super Palmster Kit
LAST NAME:
FIRST NAME:
STREET ADDRESS:
CITY:
STATE OR PROVINCE:
POSTAL CODE:
COUNTRY:
PHONE NUMBER:
FAX NUMBER:
E-MAIL ADDRESS:
ALTERNATE PHONE NUMBER:

QUANTITY AND TOTALS

ITEM P/N EACH ($US) QTY. $ TOTALS
WILLIAMS SUPER PALMSTER RATCHET KIT; CAT. #WBSP-19HTX $89.00 X1

=

SHIPPING & HANDLING (US $10.00; EXTRA FOR NON-US)=

 $10.00

TOTAL $US THIS ORDER=

PAYMENT METHOD - CHECK OR FILL IN INFORMATION ACCORDINGLY.

CHECK VISA IMPACT MASTER CARD AMERICAN EXPRESS MONEY ORDER
MAKE CHECK OR MONEY ORDER PAYABLE TO: Kell-Strom Tool Co.
CREDIT CARD NO.:
EXP. DATE: MONTH: YEAR: 4 DIGIT CARD CODE:
SIGNATURE (FOR FAX AND SNAIL MAIL ORDERS/ENTER NAME FOR OTHERS):
  • Via WEBSERVER

  • By TELEPHONE: CALL toll free:
    • 800 851-6851
  • By FAX: Print this completed form and FAX it to:
    • 860 257-9694
  • By SNAIL MAIL: Print this completed form and MAIL it to:
    • Kell-Strom Tool Co., Inc.
    • 214 Church Street
    • Wethersfield, CT   06109
    • USA

THANK YOU FOR YOUR ORDER!
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