CHARLEY'S SURPLUS SALES, INC.

3100 N. Lincoln Ave    Chicago, IL  60657

Fax & Inquiries: 1-580-310-9136          Toll Free (Orders Only) 1-800-654-4795                 

Email: charleyssurplus@cox.net                   Hours: Mon-Fri 9:00AM-4:00PM   Sat 9:00AM-1:00PM (Central)

Ordering Instructions: $30.00 minimum order, $6.95 Shipping & Handling Per Order (In Continental U.S.).   An additional fee will be included for heavy or bulky items.  We ship UPS within the Continental United States.

Sales Tax will be charged to Illionis shipping addresses only.

Please include daytime phone number or email address.

Print this form, fill out and call in, mail or fax to Charley's.

Ship To Name:  
Address:  
City, State, Zip:  
Attention:  
Telephone Number:   

Email Address:

 
 Credit Card No:                                   

Visa     MasterCard (Circle One)

Expiration Date: Month:          Year:           

Payment Enclosed:

$_______________________

Item Qty Description Price Amount