The ABT Buckle
Advanced Buckle Technology, 3 Shady Lane, Falmouth, ME 04105

ORDER FORM

To place your order for ABT Buckles, please print and complete this form and mail it to:

ADVANCED BUCKLE TECHNOLOGY
3 SHADY LANE
FALMOUTH, MAINE 04105

You can fax your printed, completed form or reach us by phone at 207.632.0466.

Name____________________________________  Voice #____________________________________
 
Shipping
Address_________________________________
   
Fax #_____________________________________
   
E-mail_____________________________________
 
________________________________________
  
 
________________________________________
 
   
Sets of buckles (4 per set) __________________
 
Billing Address on credit card
if different from shipping:
  Card #_____________________________________
 
_________________________________________
   
Circle one:   DIS    AMEX    MC    VISA
 
_________________________________________
   
Exp. Date_______/_______
 
_________________________________________
  
 
 
_______________________________________________
Signature

Pricing Information:

A set of 4 buckles are $160.00, shipping included in the lower 48. THE FIRST 1000 CUSTOMERS CAN ORDER A SECOND SET FOR $80.00

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Copyright © 2000-2004 Advanced Buckle Technology, 3 Shady Lane, Falmouth, ME 04105, 207.632.0466, seller99@msn.com, www.advancedbuckle.com.