Print out the form below and mail to: Chas-Mac Inc. 8504 Vogue, Houston, TX 77055 or you may fax the form to (713) 461-5229. If you need to return to our website please hit your back button.

ORDER FORM

Sub Total ________________________

Texas Residents add 8 1/4 % Texas Sales Tax ________________________

Shipping & Handling (will advise) ________________________

TOTAL ________________________

Method of Payment:

Check ______

COD  ______

VISA / Mastercard / American Express / Discover

Card Number ___________________________

Expiration Date __________________________

Name _________________________________

Ship To Address _________________________

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Telephone Number _______________________