E-Z Spread n' Lift
Order Form - E-Z Lift Products
To order by phone (215) 322-2099 or fax this form (215) 322-1066
by mail...
E-Z Spread N' Lift Industries
1815 Buck Road, Feasterville, PA 19053 U.S.A.



Sold To : PO # Ship To : (if different)
Co Name (if applicable) : Co Name (if applicable) :
Name : Name :
Address : Address :
City : City :
State/Zip Code : State/Zip Code :
Daytime Phone : Daytime Phone :
Fax : Fax :
E-mail : E-mail :
 
Qty.
Description
Price (ea.)
Total
   E-Z Cabinet Lift - 12" Model 695.00  
   E-Z Cabinet Lift - 24" Model 795.00  
   E-Z TV Lift - Standard Model 795.00  
   E-Z TV Lift - Fireplace Model 895.00  
   Extension tube for 9 or 10 foot high ceilings 40.00  
   E-Z Frame Spreader 395.00  
 
Shipping - Entries below should match entries above
Qty. Model(s) West - AR, AZ, CA, CO, IA, ID, KS, LA, MO, MT, ND, NE, NM, NV, OK, OR, SD, TX, UT, WA, WY East - AL, CT, DC, DE, FL, GA, IL, IN, KY, MA, MD, ME, MI, MN, MS, NC, NH, NJ, NY, OH, PA, RI, SC, TN, VA, VT, WI, WV
Total
   EZ Cabinet Lifts, EZ TV Lifts 90.00 60.00  
   EZ Door Frame Spreader 15.00 15.00  
   Extension Tubes 10.00 10.00  
 
PAID BY : (Check One) Credit Card Info (if applicable)    
[   ]  Check Name on Card : Total Amount $
[   ]  Money Order Card # : CVV2 #:  
[   ]  Master Card Expiration Date : PA Add 6% Tax $
[   ]  Visa Card Signature GRAND TOTAL $

Prices are subject to change without notice.