Silver brite - order Form

DOES MORE THAN CLEAN, ACTUALLY ADDS SILVER

Plates / Cleans / Shines Does not flake, chip or peel.

Will not plate base metals - steel, pot metal, aluminum, or triple plate and quadruple plate.

Saving You Money On Every Order

Please provide the following contact information:

Name

Business Name

Street Address

Address (cont.)

City

State

Zip/Postal Code

Home Phone

FAX (Optional)

E-mail

Order Information

In order to provide you with the the total cost including shipping and not overcharge you like so many companies do we request that you fill out the information below. We will call you with the price including shipping and tax if appropriate. You can then provide your credit card information.

Thank you for your order. We will ship as soon as the transaction is complete.

SilverPlater PRICE LIST

Description	Price
4 oz Silverplater	$34.95 ea

QTY DESCRIPTION

BILLING

Purchase Order #

Account Name

SHIPPING If Different From Above

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

E-Z Way^RRestoration Products

P.O. Box 2058, Mount Vernon WA. 98273

Toll Free Help Line

1-800-356-1022 360-757-6067

ezway_factory@yahoo.com

*Name*
Business Name
*Street Address*
*Address (cont.)*
*City*
*State*
*Zip/Postal Code*
*Home Phone*
*FAX (Optional)*
*E-mail*

	SHIPPING If Different From Above
*Street Address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal Code*
*Country*