UNIVERSAL MALL

ORDER FORM


All of our products have a full warranty.

  CALL 708-344-9021, FAX 708-344-9021

To Obtain Information or Prices About Items in our MALL,

Please Send us E-Mail  

Please complete the order form below. Fax, e-mail or print and mail with payment;
to the address below. If you have any questions, just click on the mail envelope,  and send us your comments.



 

First, last and middle name:

Organization or company (if any):

Address, state, zip and country:


State:

Country or zip
 

Social security number or driver licence:

Item number or description:

Credit card number and experation date:

Quanity:



U.S. Dollar amount. Please add $12.00 handling plus shipping (shipping fees a listed in each shop)

if in Illinois, add 8.75% state tax

MONEY ORDER AMOUNT




YOU CAN MAIL YOUR ORDER

 

ABLE HOME AIDES

P.O. BOX 202

CHICAGO, IL 60690-0202

 

PHONE: 1 708-344-9021

FAX: 1 708-344-9021

Social security number or driver licence:

Item number or description:

 

 

 


Please e-mail your order or comments to: MAIL TO: ABLE HOME AIDES.



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