PARTS ORDERING FORM
1410 - 39th Street N.
Lethbridge, Alberta T1H 5M8
(888) 678.2060
FAX: (403) 327.7789 | [email protected]
DATE:
PHONE #:
EMAIL:
COMPANY NAME:
CONTACT NAME:
SHIPPING ADDRESS:
NOTES:
FOR MODELS:
8831-18” / 8831-20”
8851-18” / 8851-20”
DESCRIPTION
PRICE (US $)
TOTAL
FRONT / REAR GLIDES (PACK OF 25)
$ 9.50
$ 0.00
NICKEL PLATED GLIDES (SOLD INDIVIDUALLY)
$ 2.00
$ 0.00
STACKING BAR BUTTONS (SOLD INDIVIDUALLY)
$ 0.30
$ 0.00
LEG STACKING BUTTONS (SOLD INDIVIDUALLY)
$ 0.30
$ 0.00
SHIPPING & HANDLING:
QUANTITY
8871-18” / 8871-20”
UP TO 10 PACKS OF GLIDES
$12.95 US$
MORE THAN 10 PACKS OF GLIDES
CALL
CHEQUE
PAYABLE BY:
SUBTOTAL
$ 0.00
SHIPPING &
HANDLING
(Please provide
copy with order)
TOTAL
$ 0.00
NAME ON CARD:
CARD NUMBER:
EXPIRY DATE:
CVC NUMBER:
Please fill out, print, and email or fax to ComforTek.
( [email protected] / 403-327-7789 )
8800 P - 06/17