KB Camera FAX Form
Print - Fill Out - FAX to: 1-360-656-6838
|
Name:
|
|
Address:
|
|
E-Mail: |
|
Credit card # Exp. Date: |
|
Day Phone: Evening Phone: |
Item Description & Price
(IE:.. 35mm Summicron M Black - $1295)
|
1.
|
|
2.
|
|
3.
|
|
4.
|
|
5.
|
|
6.
|
|
7.
|
Special Notes:
|
|
Thank You! - We will contact you shortly to confirm your order