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Please make all checks payable to:
Briggs Global Enterprises
6080 N. Marks Ave. #115
Fresno, CA 93711
To order by fax:
Orders and purchase orders may be faxed to
(559) 438-4757 anytime, day or night.
 
Shipping Information:
Name: ____________________________________________________________
Address: __________________________________________________________
                ___________________________________________________________
                ____________________________________________________________
 
E-mail address (optional) will only be used to send shipment confirmation:
____________________________________________________________________
 
 
QTY     SKU          ITEM                                                                                    TOTAL
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Subtotal_________________
Shipping_________________
CA residents only, add 7.975% salestax_________________
Grand Total_________________
 
Payment Information:
 
Charge my (circle one):     Visa        Mastercard          Discover           Amex
Card#__________________________________
Exp.Date__________CVV2*__________
*The CVV2 is the 3 digit numeric code after the credit card number on the signature panel.
For Amex, it is the 4 digit code found in the top right corner on the front of the card.
 
Name and Billing Address (if different from shipping address):
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
 
Signature (required for credit card orders):
__________________________________________________________
 
Daytime Phone Number:
__________________________________________________________