A.M. Leonard

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      Express Order

Welcome to our secure express order form! The express order form was
designed for those who already have complete ordering information 
(product numbers,descriptions,price,etc.). If you do not have this information
please review our Online Catalog. Remember to include size and color
where applicable, also note at this time we do not offer any ordering
verification for this form.
If you should have any problems, feel free to send email to custserv@amleo.com.
While we feel on-line ordering is safe and secure, we realize that some        
of our customers may be uncomfortable with giving out their credit card        
information over the internet. We offer these customers a choice to print         
their order information and   it  to us.

   Sold To:
  (Required are Bold*)

First Name*	*required
Middle Initial
Last Name*	*required
Acct Manager
Company
Address 1*	*required
Address 2
City*	*required
State*	*required
Zip Code*	*required
Country*	*required
Phone
E-mail*	*required
Customer #
Source Code

          






          
          Ship To:
                (If different then sold to

First Name
Last Name
Address
City
State
Zip Code
Country

Item number	Qty	Page Number	Item Description	Price Each	Total Price

Total Price of Merchandise
Oh Residents add 6.5% tax
*Standard Shipping Charges
Total

        Standard Shipping Charges

*SPECIAL NOTE: Items marked in our catalog "motor 
  freight delivery" or   a combination of items which may
  exceed the size and weight requirements of   UPS of 
  USPS must be shipped by motor freight/common carrier. 
  Standard shipping   charges will no longer apply. Please
  contact A.M. Leonard for delivery information  
  @ 1-800-543-8955.

Method of Payment: *required


Card Type  
	  
Card Number*  Exp. Date: (MM)*  (YYYY)* 
Verfification Number*  

Comments:


Before you submit please review your order closely, as there
is no error checking performed on this form.