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Mustang Wire Products Inc., - P.O. BOX 53  -  Mustang, OK 73064  -  405-787-1684  -  FAX 405-787-1699
ORDER FORM


  Customer Name _____________________________________________________________________________


  Company Name _____________________________________________________________________________

  Shipping Address ____________________________________________________________________________

  City ________________________________________ State ______________________  Zip ________________

  Phone # _______/_______________________________    FAX # _______/______________________________

  Oklahoma Sales Tax # _________________________   Federal Excise Tax # _____________________________
  (Please submit copy with first order)                               (Please submit copy with first order)
ITEM STOCK
NUMBER		 QTY. (LOTS
OF 1000)		 DESCRIPTION UNIT
PRICE		 TOTAL
PRICE
1.     o    
2.     o   o
3.     o   o
4.     o   o
5.     o   o
6.     o   o
7.     o   o
8.     o   o
9.          
10.          
Sub
Total		  
Subtract
Discount		  
Taxable
Total		  
Add Shipping ($6 if Sub Total is less than $200,
shipping is free  if Sub Total is over $200)		  
Add Federal Excise Tax
(10% of Taxable Total)		  
 Oklahoma residents add Sales Tax
(8.375 of Taxable Total) 		 
GRAND
TOTAL		  

Method of payment:  ___ Check or Money Order      ____ C.O.D.      ____ MasterCard      ____ VISA

Credit Card #: ____________________________________________________   Exp. Date: _____ / _____

Signature for credit card orders: ____________________________________________________________
All text and photographs within these pages copyright 2005 by
Mustang Wire Products, Inc., unless otherwise stated. All rights reserved
including the right to reproduce this page, or portions thereof, in any form.
Page content © 2000 - 2005 by Mustang Wire Products, Inc.