ORDER FORM

Adventure Creations Inc. Fax: 949-515-3933 Phone; 949-515-3600

Fax this sheet to the above fax #. We will contact you inregards to the shipping costs and total price.

Today's Date______________ In hand's date___________________


Company Name________________________________________________


Address______________________________________________________



City_________________________State__________Zip _____________


Phone________________________Fax_____________________________



Email________________________________



Contact Name__________________________________________________


Name of Credit Card ____Visa ____M/C ____AX  ____Discover


Number On Credit Card_______________________________Expiration___________


The name on the credit card ___________________________________
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Item #__________Description of Item______________________________________


Qty________  Color __________   Price _________


Item #__________Description of Item______________________________________


Qty________  Color __________   Price _________