Please print out and complete this order form, then mail it along with your check payable to Tele-Ride Binding Company to this address.
Name:
Street/Apt.:
City, State, Zip:
Day time phone:
Evening phone:
Email:
Number of items ................................. ______

Items x $79.95 ......................... $______

Items x $89.95 ......................... $______

Shipping (see shipping fees) ...... . $_______

TOTAL ................................... $_______

Assumption of Liability:
Buyer accepts the risks always associated with Teleboarding, and in particular, using the Tele-Ride Binding while Teleboarding, and assumes all liability for the use of products purchased through Tele-Ride Binding Company.

Your Signature __________________________Date:___________
 
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