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Fast Brake Mail Order Form |
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| Testimonials |
| (To print, click on browser menu 'file' option above, and select print.) Name: _________________________________________ Address: _______________________________________ City: __________________________ State: ___________ Country: ______________________ Zip Code: ____________ Telephone: _________________ e-Mail: _________________________________________ PO or ID Number (if any): __________________________ |
| Description | Total Pads To Receive |
Item# |
Cost | Enter Quantity Ordered | Enter Total Cost (Cost times Quantity) |
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Fast Brake Individual Use Sports Pad Size 6"x14" - 20 sheets |
1 |
FB0201 |
$12.95 |
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| 2 |
FB0202 |
$23.50 |
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| 3 |
FB0203 |
$33.75 | |||
| 5 | FB0205 | $51.50 |
| Description | Total Pads To Receive |
Item# |
Cost | Enter Quantity Ordered | Enter Total Cost (Cost times Quantity) |
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Fast Brake Individual Use Sports Pad Size 9"x12" - 40 sheets |
1 |
FG0301 |
$21.95 |
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| 3 |
FG0303 |
$62.85 |
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| 5 |
FG0305 |
$99.75 |
| Description | Total Pads To Receive |
Item# |
Cost | Enter Quantity Ordered | Enter Total Cost (Cost times Quantity) |
| Fast Brake Starter Team Kit Size 15"x18"- 40 sheets | 1 |
FB0301 |
$64.95 |
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| 2 |
FB0302 |
$123.90 |
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| 3 |
FB0303 |
$176.85 | |||
| 5 | FB0305 | $274.75 |
| Description | Total Pads To Receive |
Item# |
Cost | Enter Quantity Ordered | Enter Total Cost (Cost times Quantity) |
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Fast Brake Replacement mat Size 15"x18"- 40 sheets |
1 |
FB0401 |
$31.95 |
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| 2 |
FB0402 |
$61.90 |
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| 3 |
FB0403 |
$86.85 | |||
| 5 | FB0405 | $134.75 |
| Description | Total Pads To Receive |
Item# |
Cost | Enter Quantity Ordered | Enter Total Cost (Cost times Quantity) |
| Fast Brake Starter Team Kit Size 26"x26"- 40 sheets | 1 |
FB0501 |
$99.95 |
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| 2 |
FB0502 |
$179.90 |
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| 3 |
FB0503 |
$239.85 | |||
| 5 | FB0505 | $379.75 |
| Description | Total Pads To Receive |
Item# |
Cost | Enter Quantity Ordered | Enter Total Cost (Cost times Quantity) |
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Fast Brake Replacement mat Size 26"x26"- 40 sheets |
1 |
FB0601 |
$50.95 |
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| 2 |
FB0602 |
$95.90 |
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| 3 |
FB0603 |
$138.75 | |||
| 5 | FB0605 | $224.75 |
| Add all amounts in each of the Total Amount columns and enter that amount in column to the right |
Enter Subtotal in this box.
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To calc USA shipping
fee, multiply Subtotal above by % below and enter into Column to right
If Subtotal is $0.00
- $49.99, multiply by .26 (26%)
If Subtotal is $50.00
- $99.99, multiply by .24 (24%)
If Subtotal is
$100.00 - $199.99, multiply by .23 (23%)
If Subtotal is
$200.00 - $349.99, multiply by .22 (22%)
If Subtotal is
$350.00 and above, multiply by .19 (19%)
For International
Orders, please contact us first by e-mail for shipping fee before
ordering.
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Enter percentage your
total falls within in this box.
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Multiple above subtotal amount by percentage and enter in this box. |
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If Minnesota resident, you must include sales tax. Multiply
Subtotal amount by
.065 (6.5%) and enter into Column to right
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X.065
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Enter sales tax in this box. (MN only)
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| Add Subtotal, shipping, and any sales tax and enter in Column to right. This is the total amount that your payment check should reflect. |
Enter Total Amount Due in this box.
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Make check or money order payable to: JTC Services Inc. Mail check and this completed order form to: Prices effective November 11, 2008JTC Services, Inc. PO Box 1015 Minnetonka, MN. 55345 |
JTC Services, Inc. Trademark 2002, Copyright 2002-2007. All rights reserved.