12776 Dixie Hwy., P.O.Box 144 South Rockwood, MI. 48179

Department/Municipality Name Address

Contact Person Position Tax Exempt Status - yes no Tax Exempt Number

City State or Province Zip or Postal Code Country

Daytime Phone Number (10 Digit) -- E-mail Address

6 foot length J.Tool - Quantity_____ Price $399.00 each - Introductory price $349.00 - Total for 6 foot length J.Tool $______

10 foot length J.Tool - Quantity____ Price $449.00 each - Intro price $399.00 Total for 10 foot length J.Tool $______

Custom Length (Contact us for quote)

Net 30 days billing (FAX us a copy of your P.O.) Pre-Pay C.O.D. Standard Delivery is by United Parcel Service Account Number

Use Another Carrier Request a Quote

(Non-U.S. Customers Only)

Broker's Name and Telephone Number

Make checks payable to: J.Tool Enterprises

Please allow 4 to 6 weeks for delivery of your J.Tool

(Buyer pays actual shipping charges which are determined by the carrier)

J.Tool Enterprises

12776 Dixie Hwy. P.O. Box 144

South Rockwood, MI. 48179 U.S.A.

Telephone (734) 379-3265

FAX (734) 379-1131