Fred Burger "Trailers & Portable Garages
                                   888-458-3390  ~~  845-339-3390
                                       e-mail: fred@fredstrailers.com
 
To order; Print out this order form and place all information on item[s] for purchase in item list below...       
                                                                                                                               Date______________ 
Name:________________________________________   Phone#______________
Address________________________________________  Work#_______________
Address_________________________________________  Cell#________________
City State Zip________________________________________________________
Business Name____________________________________ Bus.#_______________
Address__________________________________________Cell#_______________
Address__________________________________________Fax#_______________
City State Zip____________________________________e-mail:_______________
 
Charge Card Info:Check Info:
Card Number_____________________________  Bank Routing#________________
Name on Card_____________________________ Bank Account#________________
Expiration Date:____________________________Check Number_______________
3 numbers on back, AmEx front_________________ Name of Bank_______________
Card Holder Zip Code_________________________ Bank Address________________
Approval Number___________________________ City State Zip________________
Tracking Number__________________________Drivers License#_______________
 
ORDER FORM:
Item #      How Many                Item                                                                                            Amount:
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www.cyclematetrailers.com                                                                                    Shipping________
www.timeouttrailer.com                                                                                          Crate Fee________
www.kingshelters.com                                                                    NY Residence Sales Tax________
www.mctrailers.biz                                                                                                  Sub Total________
www.motorcyclehitch.net                                                                                        Discount________
                                                   Thank You... Fred Burger "Trailers"         Total Due________
Contact Information:
 
Fred Burger "Trailers"
30 Highland Road
Ulster Park, NY  12487
888-458-3390- Toll Free
845-339-3390 - Local
914-388-3338 -Cell
845-338-8945 -Fax
e-mail:
fred@fredstrailers.com
Phone Calling Hours:
7am to 9pm 7 days a week
Business Hours:
By Appointment