Order Form / Make checks payable to D DUKE
Alabama Boating Supplies/ www.biminitops.biz
c/o D DUKE
Phone 256-418-5586 FAX: 256-659-1387 e-mail: 4orders@biminitops.biz
PO box 516
Geraldine, AL 35974
Payments sent via your online banking account process same as cash.
You can send us a check using your online banking account. Just log on to your online banking account, click the tab that says
send payment, pay bills, or similar. ENTER THE ADDRESS ABOVE AS THE PAYEE. Put your phone number as the account
number. Make checks payable to D DUKE
Please fax or scan and email this form if paying via online banking account or COD
PRINT THIS FORM AND MAIL IT WITH YOUR PAID ORDER. FAX OR EMAIL IT FOR COD ORDERS
***********WE NO LONGER ACCEPT CREDIT CARDS***********
Method of payment: _______Sending payment via online banking account
Sending payment via www.ZASHPAY.COM________ What is www.zashpay.com click here for more info.
Payment Inclosed______ (check or US postal Money Order- SHIP PRIORITY MAIL FOR FASTEST SERVICE)
Ship COD _________ COD charges to be paid by customer (COD ORDERS ARE US POSTAL MONEY
ORDER OR CASH ONLY -NO PERSONAL CHECKS)
SPECIAL ORDER ITEMS CAN NOT BE SHIPPED COD OR CASH ON DELIVERY If mailing a personal check
OR MONEY ORDER, we recommend using USPS priority mail. Standard first class mail can take up to 10 days to reach us
Make checks payable to D DUKE
(ship to address) Name: First_______________ Middle I_____ Last__________________
Address 1:________________________________________________________
Address 2:________________________________________________________
City:_________________________________ State/Providence: _____________________
Zip/ Postal Code: _______________ Phone Number_______________________________
E-mail Address:_____________________________________________________________
Items Ordered: (Please enter part number and description)
Quote number___________________
1) ____________________________________________________Price:_______
2)_____________________________________________________Price:_______
3)_____________________________________________________Price:_______
Make checks payable to D DUKE- Make notes or additional instructions on the back of this form
SHIPPING CHARGES: IF your order includes a frame add $24.99 Shipping.
If you have a fabric only, shipping is $14.99 unless you were told different by us.Total:____________
Signature: ___________________________________________ Date_______________
Make checks payable to D DUKE
Copyright 2011 Alabama Boating Supplies. All rights reserved