Print, Fill In and; Mail TO:
BUX Comm Inc
 115  Luenburg Drive
Evington,  VA 24550

 Internet: http://www.BUXCOMM.com

 To Print this ORDER FORM. CLICK HERE
OMoney Order / Check (included with mail order).
OCredit card*Include 3 digit number on back of card (_____)
VISA:*__ __ __ __|__ __ __ __|__ __ __ __|__ __ __ __
Discover:*__ __ __ __|__ __ __ __|__ __ __ __|__ __ __ __
MasterCard*__ __ __ __|__ __ __ __|__ __ __ __|__ __ __ __
Expiration Date, (required*)  Month:_____   Year: ______

This order can also be FAX'd to:
 1 434 525 4919

Name,  (first:                                               
(Initial):__ (last:                                          
Street:                                                          
City:                                                             
State:           ZIP: __________-______
Call:______Phone:                                    
Country:________________________
email:__________________________
Date:__________________________
Signature:                                                    

Order No.:

Part or Model/Description

 Quantity Price Each ($) TOTAL Price ($)
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
 

Virginia Residents, add 5% VA tax.

 $
   

Sub Total

 $
 

S&H

  
   

TOTAL

  

 *Foreign orders will be charged according to carrier rates.  TERMS: Add $6.00 shipping and handling for orders under 2 pounds. Orders over 2 pounds will be charged according to weight and zone.  Red label(1 day), Blue label(2 day), and Orange label(3 day), will all be charged according to weight and zone. No C.O.D.  Virginia Residents add 5% Tax.  30 Day Money Back Guarantee on all items returned in "like-New" condition. All items are subject to prior sale. Prices are subject to change without notice. Foreign Orders U.S. Funds Only.  We ship US air mail to all countries. All Countries including Canada, add $15.90 minimum shipping and handling.  All text and graphics on these pages are ��™ of G. E. Rogers Sr and BUX COMM Corp 1985 - 2010
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