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 Lift Cabinet Jack - Model EZ-1 525.00  
   E-Z Lift Cabinet Jack - Model EZ-2 475.00  
   E-Z Lift Cabinet Jack - Model EZ-3 350.00  
   Adjustable Cabinet Depth Model For 9" to 24" Deep Wall Cabinets 725.00  
   E-Z Lift Plasma TV Lift 695.00  
 
Shipping - Entries below should match entries above
Applies only to the lower 48 states.
If outside continental US, we will calculate shipping and contact you before filling your order.
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-1, EZ-2, Plasma TV Lift
 Adjustable Depth Cabinet Jack		 90.00 60.00  
   EZ-3 Cabinet Jack 65.00 45.00  
 
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.