RAYTECH   ORDER   FORM
We accept credit cards, checks, and money orders.
PLEASE PRINT THIS FORM, FILL IT OUT, AND MAIL OR FAX: FAXING, E-MAILING OR CALLING IN ORDER WILL CUT AT LEAST 2 WEEKS OFF DELIVERY TIME!

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NAME: _______________________________
ADDRESS: ___________________________________________________
CITY: _____________________    STATE: ____   ZIP: __________
TELEPHONE: (____) ____ - __________        E-Mail: _____________________

CREDIT CARD NUMBER:
Visa, Master Card or Discover
________________________
EXPIRATION DATE: ________________
SIGNATURE:
FOR CREDIT CARD ORDERS

Signature Not required if order is e-mailed.
_______________________________

QUANTITY: NAME OF PRODUCT: MODEL NUMBER:
If Applicable
SIZE:
If Applicable
PRICE: TOTAL:
Price X Quantity
_____ ______________________
______________________
_________________ _______ $_______ $__________
_____ ______________________
______________________
_________________ _______ $_______ $__________
_____ ______________________
______________________
_________________ _______ $_______ $__________
_____ ______________________
______________________
_________________ _______ $_______ $__________
SHIPPING AND HANDLING CHARGE: (See Below) $__________
SUBTOTAL OF YOUR RAYTECH PURCHASE $__________
SALES TAX:
NEVADA RESIDENTS, ADD 7% SALES TAX (SUBTOTAL x .07):
$__________
TOTAL PRICE OF YOUR PURCHASE:
Make Check or Money Order Payable To This Amount:
$__________

If ordering more than 4 items, click here to print extra order form space.

Shipping & handling rates: for: CA, WA, OR, AZ, MT, UT, ID, CO, NM, WY, NV

For the rest of continental USA:

$ 0-100 = $6.00
$101-200 = $7.00
$201-300 = $8.00
$301-400 = $9.00
$401-500 = $10.00
$501-600 = $11.00

$ 0-100 = $8.00
$101-200 = $9.00
$201-300 = $10.00
$301-400 = $11.00
$401-500 = $12.00
$501-600 = $13.00

Alaska & Hawaii Please call for shipping rates.
** Note: For priority mail to any locations, please call for rates. **

Please make all checks and money orders payable to: Raytech
Send your completed order form with a check, money order or credit card info to:

Raytech
635 E. First Street, Suite 203, Tustin, CA 92780

Tele: (714) 544-8864
(714) 544-8864
Fax: (714) 544-8120
(714) 544-8120
Toll-Free: (800) 838-5898

Please allow between two and four weeks for delivery. If you live outside the United States of America, please send your payment as a Postal Money order in U.S. dollars or as an International Money Order from your bank in U.S. dollars. Thank You For Your Business!!!

Click here for Raytech's Home Page and Other Products


  Conditions of Sale and Important Information
  We accept Visa, Master Card, American Express, Wire Transfer, Check, or Money Order.

Copyright (c) Raytech, 2003, All rights reserved.
635 E. First Street, Suite 203, Tustin, CA 92780
E-mail: raytech@covad.net

Tel: (714) 544-8864    Fax:  (714) 544-8120   Toll-Free: (800) 838-5898