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| FAX
ORDER FORM |
| Fuxi
Racing USA |
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| P.O.
Box 3880 |
34520
Hwy 6 Unit C-7 |
| Vail,
CO 81658 |
Edwards,
CO 81632 |
| Phone
970-926-8580 |
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| Fax
970-926-8581 |
Franz@FuxiRacingUSA.com |
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Expiration |
Card
Holder Name |
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Model
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Size |
Color |
Quantity
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Price |
Total |
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| Sub
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| Applicable
Discount |
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(In Colorado) Tax |
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