AUTO COOL ORDER FORM.

 

PLEASE PRINT CLEARLY AND FILL OUT THIS FORM AND SEND IT WITH MONEY ORDER, BANK CHECK, OR PERSONAL CHECK.                       

MAKE CHECKS PAYABLE TO: RADIO RESEARCH LTD

 

NAME:___________________________ ​

ADDRESS:_______________________​

CITY,STATE,ZIP___________________​

PHONE:_________________________​

EMAIL:__________________________ 

 

 CONTROLLER:________        PRICE:_____

 

 SENSOR:_____________    PRICE:_____

 

 OTHER:______________    PRICE:_______

 CHECK#:_____________   DATE:_______

 

NOTE: IF YOU DO NOT ORDER A SENSOR, WE WILL SEND YOU A STANDARD BRASS SENSOR, NO EXTRA COST.

 

WE PAY THE POSTAGE (USPS) ON ALL ORDERS IN THE USA.