Call toll free: 1-800-883-8838
Atlanta Cutlery Corp./
Museum Replicas Ltd.
DEALER ORDER FORM
Date:
Sold To: Ship To:
Acct. #: Address:
Address:
Phone: Phone:
Email: Email:
Item # Quantity Description Unit $ Amount
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Total:
Method Of Payment (circle one):
Credit Card Check
(mail with form) AR
C.C.# Expires:
Name on card____________________ Signature_______________________
Shipping Method (no Saturday delivery- extra fees apply to expedited
service):
UPS Ground UPS
3 Day Select UPS 2 Day Air UPS Next Day Air Parcel Post
Special Instructions:
Business Owner or Authorized Buyer:
Signature____________________ Print Name____________________