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.



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Name :

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Daytime Phone :

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Qty.
Description
Price (ea.)
Total
   E-Z Lift 995.00  

   E-Z Lift Extension Tube Assembly 75.00  

   E-Z TV Lift 1295.00  

   E-Z Tool with end plates, shoulder strap and carrying bag 995.00  

 
 
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.