9750  247th Street East 
Lakeville, MN 55044 
 		 Phone: (612) 469-1685 
Fax:     (612) 985-5312 
 
TAYLOR MADE CORNER CLAMP JIG 

FAX / PHONE ORDER SHEET 
 
 

  QUANTITY    
BULK PACK (100 JIGS)     X   $150.00  
BOXED UNIT OF 10 JIGS   X   $16.00  
    SUB TOTAL  
SHIPPING & HANDLING quantity of boxed 
units of 10		   PLUS TOTAL 
SHIPPING & 
HANDLING
    X   $5.50  
BULK PACK - F. O. B.   TOTAL >                           <
 
Please supply the following information when ordering, for faster processing. 
Please print or type. 
 
Name:                                                       Company:                                                              <
 
Address:                                                  City:                                    State:        Zip:              <
 
Telephone#:                                                      Fax:                                                                <
 
Payment Method:   q VISA       q MASTERCARD   q DISCOVER    q CHECK 
                                                                                                                                                      no cash, checks only 
 
Card#:                                           Authorized Signature:                               Exp. Date:          <
 
Simply print out form,
Mail Completed form to the above address (All orders shipped the next day 
on receipt of order form.)  Please include CHECK or indicate other payment method.
Or Call: (612) 469-1685 to give account information for complete confidentiality.  
If you choose to order  via email copy and then paste this form to the email folder, 
fill in all information except your Credit Card number we will call you for 
your account information to insure confidentiality. 
 
    
    
    
TAYLOR MADE    FAX # (612) 985-5312     PHONE # (612) 469-1685