Date: Fri, 21 Nov 1997 04:29:05 GMT Server: Apache/1.2.4 Last-Modified: Tue, 15 Apr 1997 22:34:40 GMT ETag: "2066221-a08-33540280" Content-Length: 2568 Accept-Ranges: bytes Connection: close Content-Type: text/html ORDER FORM ORDER FORM
To order, call us at 800-736-2494 or complete the form below, print, then fax to us at (314)997-1281.
SHIP TO:

NAME:    

ADDRESS: 

CITY:      ST.: 

ZIP CODE:

PHONE:   



Please allow 2-3 weeks for normal delivery






BILL TO:

NAME:    

ADDRESS: 

CITY:      ST.: 

ZIP CODE:

PHONE:   


ACCT# EXP. DATE


PURCHASES
ITEM DESCRIPTION QTY. PRICE TOTAL
1 Road Whiz Plus $39.95
2 Road Whiz Town & Country $69.95
3 RV Special $59.95
4 Greensfinder $79.95
5 Ultrafinder $99.95
6 Kids Road Whiz $39.95
7 Home & Garden $59.95




MONEY BACK GUARANTEE

Travel USA
9648 Olive Blvd.
St. Louis, MO 63132

For Customer Service Questions
Call: 314-997-2250
Fax: 314-997-1281
E-Mail: travelusa@primary.net

  Subtotal		$_________



  MO. Residents Add	$_________

  6.725% Sales Tax



  S&H

  $6.50 for first unit + 2.00	$_________

     each additional unit	

  TOTAL			$_________