Mail-in Order Form
    Fixer Corp.

    
    Name____________________________________________________________
    
    Address_________________________________________________________
    
    City__________________State-Province______________Zip Code_____________
    	
    Country______________
    
    
    Phone Number_______________________Email Address________________________
    
    
    ------------------------------------------------------------------------|
    Quantity   Part Number  Description          Cost Each    Total         |
    ------------------------------------------------------------------------|
             |             |                    |            |              |
             |             |                    |            |              |
             |             |                    |            |              |
             |             |                    |            |              |
             |             |                    |            |              |
             |             |                    |            |              | 
             |             |                    |            |              |
             |             |                    |            |              |
             |             |                    |            |              |
             |             |                    |            |              |
    _________________________________________________________________________
                                                     Sub Total_______________
                           Colorado Residents add 3% sales tax_______________
                                                         Total_______________
    
    
    

    Print out this form on your computer, fill it in and mail it. Enclose your check or money order. Allow two weeks for your check to clear. Mail to:

      Remotes Consolidated Corp.
      381 S. Ames St - Suite E306
      Lakewood, Colorado 80226

      Phone - (866)661-0274
      International - (303)934-1749

    No Minimum Order. USA, Canada and Mexico only.

    • Remote controls are charged $4.95 shipping and handling for up to 5 lbs.
    • VCR parts are charged $6.95 shipping and handling for up to 5 lbs.

    All funds must be in U.S. dollars.