Mailorder Form

Customer Information:

Name:__________________________________________________

Address:________________________________________________

City, State, ZIP:___________________________________________

Email:__________________________________________________

Phone:_________________________________________________

Credit Card #:____________________________________________

Name on Card & Expiration Date:___________________________________________

           


 To Print This Form
CLICK on PRINT below.

Quantity
Description            
Item Price Total Price    
         
         
         
       
         
         
SHIPPING
(Please check the information below.)
  
 Subtotal
 
 California Residents please add 8% SALES TAX
 
 TOTAL
 

Send Check, Money Order or Credit Card (MC/VISA) info to:

DuckTec
P.O. Box 4703
Stockton, CA 95204

OR.....Phone, FAX or E-Mail Credit Card (MC/VISA) info to:

209-467-4577 (Phone)
209-467-1077 (FAX)


Any of the Products Shown in the DuckTec online Catalog may be Mail Ordered. The form above is supplied for those who wish to use Mail Order. Simply fill out the Mail Order form, Enclose your Check or Money Order and Mail it to DuckTec. Mail Orders typically take from 10 to 15 working days for you to receive your merchandise.