Printable JMI Order Form
 

Print this form and phone, fax or mail your order (or copy and paste it to an email message formatted for HTML).

Bill To Ship To
Name:  Name: 
Address:  Address: 
Address:  Address: 
City:  State:  ZIP:  City:  State:  ZIP: 
Country:  Bus.   Res. Country:  Bus.   Res.
Phone:  Type*:  Phone:  Type*: 
Alternate:  Type*:  Alternate:  Type*: 

* Work, Home, Mobile, Pager, Fax, Email

Method of Payment Telescope Information
Check  Money Order   C.O.D.   VISA   MasterCard Telescope Make and Model: 
Card Number:  Exp. Date:  Mount Make and Model: 
Signature:  Year Manufactured: 

 

Part
Number
Product
Description
Order
Quantity
Price
Each
Total
Price
Shipping &
Handling
           
           
           
           
           
           
           
Today's Date:   Merchandise Total ($25 min)    XXXXXXXXXX
Comments:   Sales Tax (see tax info)    XXXXXXXXXX
Shipping and Handling  XXXXXXXXXX  
$9.00 C.O.D. Charge (if applicable)  XXXXXXXXXX  
Grand Total  

 

JMI Telescopes  Jim's Mobile, Inc.  8550 West 14th Avenue  Lakewood, CO  80215 U.S.A.
Information 303-233-5353 
 Orders 800-247-0304  Fax 303-233-5359  info@jmitelescopes.com