If you do not want to use the credit card shopping cart, call in your order at (760) 721-3393 or FAX line (760) 721-3373  only for placing orders using the form below. Print out  the order form below and fill in the items you want as you browse this web site.

CUSTOMER:

SPECIAL INSTRUCTIONS:

 

 

ADDRESS:

CITY:

STATE/ZIP:

 PHONE:

Payment by - Check __________  MO_______  (Check One)

 ORDER DATE:

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

  If you have any questions, please email us at ppw-aline@att.net
PART # DESCRIPTION (Optional) QTY UNIT $$ TOTAL $$
         
         
         
         
         
         
         
         
         
         
         
         
         
         

Product Subtotal

   $
CA Shipments Add 8.75% Sales Tax   $

Shipping Charges
Actual shipping charges, plus a $10.00 handling charge, are added for addresses outside of Continental US.

  $10.00 Continental USA
                         Thank you for your order!!    Total Order   $