Order Form

Please print and complete this form when ordering. Send this form with your check or money order to the address below. Please allow 3-4 weeks for delivery. For rush orders please call.  Thank You.

EPICS
1600 San Pedro Dr. NE
Albuquerque, NM 87110

Billing Information:

Organization:                                                                          

Attn:                                                                                          

Address:                                                                                   

                                                                                                   

City:                                                                                           

State:               Zip:                        Phone:                             

 Shipping Address (if different than billing address)

Name:                                                                                   

Organization:                                                                     

Address:                                                                              

                                                                                              

City:                                                                                     

State:               Zip:                        Phone:                         
PRODUCT (Please list products below) QTY. PRICE EACH TOTAL
       
       
       
       
       
       
Subtotal  
Add 10% Shipping and Handling  
TOTAL  

Thank You for Your Order!

EPICS
1600 San Pedro Dr. NE
Albuquerque, NM 87110
Phone: (505) 767-6630
Fax: (505) 767-6631
E-mail:

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