Fax an Order

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For your convenience we have given you a choice to fax your order to us using this form.   

Please fill out all required information.  Use your Print Button on your toolbar to print the form.  Fax the order to: 951-279-4432.  For your protection, we will not complete the order until you have approved the invoice.  If you have any questions at all, please call us at 951-279-4104 or email at info@avidtiledesign.com.

Your information:
Full name:
 * required
Billing address:
 * required
City, State, Zip:
 * required
Email address:
 * required
Telephone number:
 * required
Fax number:
   

Credit Card Info.:

Card Type:
MC
Visa

Card Number:

3 digits on back:

 * required
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Expiration :

Items Ordered :

Example: 1qt MB1 Marble Granite Tile Cleaner $15.95