Order by Mail

Please print this form and fully complete all areas.

  Make your check or money payable to New Remotes, Inc.

& mail with the completed form to:

 

New Remotes, Inc.

Electronic Adventure

12914 Dupont Circle

Tampa  FL  33626

 

Name: ___________________________________________________

 

Address: _________________________________________________

 

Address: _________________________________________________

 

City: ____________________________________________________

 

State: _________________

 

Zip Code: ______________

 

Phone:  _____________________________

 

Remote model brand & number: ______________________________

 

Quantity: ___________

 

Price: $______________

 

Total cost: (quantity X price) $__________________

 

Shipping & handling: $7.95

 

Sales tax: (Florida residents only - 7%) $______________

 

Grand total: $____________________________

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