EMail: headwestproducts@yahoo.com

Headwest Products

Price List/Order Form

Sales Rep.

2973 Harbor Blvd #118 Costa Mesa, CA 92626

9mm-12mm Standard Slide Displays

14mm-18mm Glass on Glass Slide Displays

Holds 27pcs (14"Lx5"W) $12

Holds 45pcs (14"Lx81/2"W) $16

Holds 36pcs (14"Lx7"W) $14

Holds 45pcs (14"Lx81/2"W) $18

$12

$12

$14

$14

$16

$16

$16

SLIDE SOLUTIONS DISPLAY FIXTURES

Ph:Fax:EMail:

S3-

S4-

S5-

ST5-

G314-

G318-

G414-

G418-

G514-

G518-

GST14-

GST18-

Holds 27pcs (14"Lx5"W)

Holds 34pcs (14"Lx7"W)

Holds 23pcs (14"Lx5"W)

Holds 30pcs (14"Lx7"W)

Holds 43pcs (14"Lx81/2"W)

Holds 36pcs (14"Lx7"W)

Holds 38pcs (14"Lx81/2"W)

Holds 32pcs (14"Lx7"W)

Black Clear

$16

Buyers Credit Card Info

Name on Credit Card(exactly as printed on card)

Address for Credit Card(number & Street, Suite #)

Address for Credit Card(City, State, Zip)

Credit Card Number

Card Expiration Date (mm/yy)

3 Digit Security Code (on back of card)

Company Name

Contact Name Phone Number

Fax Number or Email Address (for Receipts)

Invoice Number Invoice Amount

Signature Date

$

Ttl. Pcs.