Denpo Products Order Form

Please render payment to "Denpo Products" at the address below. Only cashier's checks or money orders will be accepted. The product will only be shipped after payment has been recieved. For orders of 10 or more holders, contact Mr. Ponce at the phone number below or E-mail him at Denpoproductsone@aol.com

Note: Our products cannot be sent to a PO box.

Denpo Door Holder and Replacement Parts
	Qty.	Sub total
Price (Big Foot, $124.95per unit)
Price (Fixed #A/P-12, $74.95per unit)
Price (Wheeled #A/W-3, $89.95per unit)
Price (accessory pack, includes easily lost items such as pins, etc., $6.00 per pack)
Price (wheels for Big Foot, $14.75per pair, free shipping )
Price (wheels for #A/W-3, $6.95per pair, free shipping )
Shipping ($15.00 per door holder, any model)
CA Sales Tax (8.25% only if in CA)
Total

Please include a shipping address in the form below:

^{Name (Last, First)}

^{Street Address}

^{City, State, Zip Code}

^{Phone Number}