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Jiffy Mixer Co. Inc.
1691 California Ave
Corona, CA  92881
Ph.   (951)272-0838   (800)560-2903
Fax   (951)279-7651   (800)666-4120

Note: $50.00 Minimum order

                     Invoice To:                                                               Ship To:

Name______________________________             Name____________________________

Company___________________________             Company__________________________

Address____________________________             Address___________________________

Address____________________________             Address___________________________

City_______________St.____Zip________            City_______________St.____Zip_______

Phone____________Fax_______________             Phone_____________Fax____________

Quantity

Model

Description

Price Each

Total
  LM  Jiffy Mixer 10 1/4" O/L $11.40  
  HS-1  Jiffy Mixer 10 1/4" O/L $12.20  
  HS-2  Jiffy Mixer 14 3/4" O/L $14.65  
  HS-3  Jiffy Mixer 30" O/L $17.65  
  ES  Jiffy Mixer 20 1/2" O/L $45.35  
  PS-1  Jiffy Mixer 20 1/2" O/L $49.95  
  PS-2  Jiffy Mixer 40" O/L $61.45  
  HD  Jiffy Mixer 40" O/L $199.95  
 

Sub-total

  

  UPS Charges    Lower 48 States Only
                                All others Call

Method of Payment

[  ] Check or Money Order
 [  ] COD   ($9.00 Fee)  

California Res. Add
Applicable Sales Tax		  
    Order Total         Charge
    $10.00 to $50.00                    $6.95
   $50.01 to $100.00                     $7.95
 $100.00 to $150.00                     $8.95
          Over $150.00                    $9.95
   		UPS Ground Service
See Chart		  

COD Fee,  
(if paying by COD)

  

Total

  

     Make all checks payable to: Jiffy Mixer Co. Inc.