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Auto Cool Order Form

Please print clearly and fill out this form and send it with a money order, bank check, or personal check.

Make checks payable to:
Radio Research LTD

Makme

NAME: ______________________________________

 

ADDRESS:____________________________________

CITY, STATE, ZIP:________________________________

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PHONE:______________________________________

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EMAIL:______________________________________

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CONTROLLER:_________________        PRICE:__________

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SENSOR:____________________     PRICE:__________

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OTHER:______________________    PRICE:__________

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CHECK #:____________________     DATE:___________

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NOTE: IF YOU DO NOT ORDER A SENSOR, WE'LL SEND YOU A STANDARD BRASS SENSOR AT NO ADDITIONAL COST,

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WE PAY POSTAGE(USPS) FOR ALL ORDERS IN THE USA

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