Item Qty Cost Total

4’ x 10’ Roll $ 31.50 $

4’ x 50’ Roll $ 130.00                 $

4’ x 120’ Roll $ 225.00                 $

10’ Splice Tape $ 2.50                 $

150’ Splice Tape $ 25.00                 $

Sub-Total $

H.A.M.B. Alliance Member Discount – 10%                  $

Shipping ($8.50 per 10’ roll / $30.00 per 50’ roll / $45.00 per 120’ roll)                                                     $

TX residents + 6.75% (Including Shipping)                                                                                    $

Grand Total $

I have enclosed a check or money order. Please ship my order to:

Name: Street:

City, State, Zip:

Phone: Email:

Please charge my credit or debit card (must match card billing info):

Name: Street:

City, State, Zip: Type of Card:

Card Number: Expiration Date:

CVV Code: (3 digits on back of Visa or M/C, 4 digits on front of AmEx) Phone:

Shipping Address (if different from billing):

Name: Street:

City, State, Zip: Phone:

MAKE CHECK PAYABLE AND MAIL TO:

HARBOUR SUPPLY

150 OAK COURT

SPRINGTOWN, TX 76082