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' ' ' ' ' ' '  G ACC#  ?  DFreight –#Special Instructions % % % % % % %  G BCC exp    E S/H —  H I I I I I I D  J CVisa/MC Code  @  FProcess[T —@8sent via Fax 5 5 5 5 5 5 5  5  5   Total*P@ €ü¿€ÿ¿P 8 5 5 5          9 : ; ; ; ; ; ; ;  ;  ;  <     ! "#PExplanation: # # # # # # #  #  #  #)$Please see the following links for $ $ $ $ $ $ $  $  $  $.%khttp://www.anythingbamboo.com/Poles.htm % % %  %  %  % & & &  &  &  &.'OOnly items in yellow need to filled out 'N 'N 'N 'N ' ' '  '  '  '(&First and Last (((„Not donald duck….please! („ („ („ („ („  („  („  („  (…  (… (… (… (†)"Billing address )!7)‡Address where you receive your Credit Card Bills )‡ )‡ )‡ )‡ )‡  )‡  )‡  )‡  )ˆ  )ˆ )ˆ )ˆ )‰*"Tel/Fax/email *!*‡Required for processing *‡ *‡ *‡ *‡ *‡  *‡  *‡  *‡  *ˆ  *ˆ *ˆ *ˆ *‰+QSent to address +R¦+‹No P.O Boxes Please. Sent to address that is different from the billing address will require fax signature confirmation along with a copy of the utility bill. + + + + +  +  +  +  +  + + + +Ž , , ‚,Utility bill must contain customers name and billing address. Sorry for the paranoia, but we have has some bad experiences. , , , , ,  ,  ,  ,  ,  , , , , -" -! -‡ -‡ -‡ -‡ -‡ -‡  -‡  -‡  -‡  -ˆ  -ˆ -ˆ -ˆ -‰."P.O number: .!¯.ŠYou do not need to fill this out, we will assign you a number, ths will be your order number when referencing any questions. Please keep this number handy when call us! .ˆ .ˆ .ˆ .ˆ .ˆ  .ˆ  .ˆ  .ˆ  .ˆ  .ˆ .ˆ .ˆ .‰/"Order accepted /!n/‡When FAXING your order, you must sign and date the box. When emailing your order, this is not required. /‡ /‡ /‡ /‡ /‡  /‡  /‡  /‡  /ˆ  /ˆ /ˆ /ˆ /‰ 0" 0! 0‡ 0‡ 0‡ 0‡ 0‡ 0‡  0‡  0‡  0‡  0ˆ  0ˆ 0ˆ 0ˆ 0‰1QType of Pole 1R.1‹Tonkin, Moso, Cana Bravo, Indian etc….. 1Œ 1Œ 1Œ 1Œ 1Œ  1Œ  1Œ  1Œ  1  1 1 1 1Ž2QStandard 2R^2ŒAs per charts shown on each page. These are dimensions of the standard poles we retail. 2Œ 2Œ 2Œ 2Œ 2Œ  2Œ  2Œ  2Œ  2  2 2 2 2Ž3 Width/Length 3 3 3 3 3 3 3  3  3  3  3  3 3 3 3 4QLength 4R,4ŒLength of pole as per your dimensions 4Œ 4Œ 4Œ 4Œ 4Œ  4Œ  4Œ  4Œ  4  4 4 4 4Ž5 Required 5 5 5 5 5 5 5  5  5  5  5  5 5 5 5 6QLength 6R^6‹How much the standard pole needs to be cutdown as per your specific length requirements 6 6 6 6 6  6  6  6  6  6 6 6 6Ž7 Cutdown 7 7 7 7 7 7 7  7  7  7  7  7 7 7 7 8"Split 8!C8‡Does the poles need to be split vertically? : $5.00 per pole 8‡ 8‡ 8‡ 8‡ 8‡  8‡  8‡  8‡  8ˆ  8ˆ 8ˆ 8ˆ 8‰9"Varnish 9!?9‡Does the poles needs a coat of varnish?, $10.00 per pole 9‡ 9‡ 9‡ 9‡ 9‡  9‡  9‡  9‡  9ˆ  9ˆ 9ˆ 9ˆ 9‰:"Remnants :!c:‡Do you require the left over bamboo pieces - remnants, (it will increase your shipping cost) :‡ :‡ :‡ :‡ :‡  :‡  :‡  :‡  :ˆ  :ˆ :ˆ :ˆ :‰;"Price/Unit ;!';‡Price per pole as per the charts ;‡ ;‡ ;‡ ;‡ ;‡  ;‡  ;‡  ;‡  ;ˆ  ;ˆ ;ˆ ;ˆ ;‰ <" <! <‡ <‡ <‡ <‡ <‡ <‡  <‡  <‡  <‡  <ˆ  <ˆ <ˆ <ˆ <‰ ="CC# =!B=‡Make sure you have all the number with no spaces in between =‡ =‡ =‡ =‡ =‡  =‡  =‡  =ˆ  =ˆ  =ˆ =ˆ =ˆ =‰ >"CC Exp >!#>‡Expiration date : month/date >‡ >‡ >‡ >‡ >‡  >‡  >‡  >ˆ  >ˆ  >ˆ >ˆ >ˆ >‰?oVisa/MC 4 digit code ?mƒ?•if you are using a visa/MC card, 3 digit code at the right hand corner - back of your visa card, AX- front right (see below) ?‡ ?‡ ?‡ ?‡ ?‡  ?‡  ?‡  ?ˆ  ?ˆ  ?ˆ ?ˆ ?ˆ ?‰@"Comments @!I@‡If you want something weird, write in the comment section. (Amber) @‡ @‡ @‡ @‡ @‡  @‡  @‡  @ˆ  @ˆ  @ˆ @ˆ @ˆ @‰ A" A! A‡ A‡ A‡ A‡ A‡ A‡  A‡  A‡  Aˆ  Aˆ  Aˆ Aˆ Aˆ A‰B"Process B!ŒB”Process Fee: If order form is send via email - $0.00, Order form send via Fax: $5.00, Order sent via telephone or ascii email: $15.00 B‡ B‡ B‡ B‡ B‡  B‡  B‡  Bˆ  Bˆ  Bˆ Bˆ Bˆ B‰C"Freight C!CŠWe will supply you with freight cost. You can request this information via email or we can fax this information back to you once we receive your order Cˆ Cˆ Cˆ Cˆ Cˆ  Cˆ  Cˆ  Cˆ  Cˆ  Cˆ Cˆ Cˆ C‰D"Handling D!lD‡$2.00 per pole, for order more than 10 poles, please contact us for handling charges, they are lower. D‡ D‡ D‡ D‡ D‡  D‡  D‡  Dˆ  Dˆ  Dˆ Dˆ Dˆ D‰ E#Total E$]E‘This is the amount you will see on your credit card once the order is approved by you. E‘ E‘ E‘ E‘ E‘  E‘  E‘  E’  E’  E’ E’ E’ E“ F F F F F F F F  F  F