All Orders Shipped
Outside of the State of Florida are
Completely TAX-FREE ! |
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We
love taking phone orders !
If you prefer, you can place your order with us via phone
Monday to Friday from 9
AM to 5
PM (Eastern Time) by calling
1-800-746-2255 or 1-561-391-7269
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Basic Information
( All Products marked in RED
must be filled out )
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Your Full
Name :
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Company Name :
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( Optional )
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Your Email Address :
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◄
IMPORTANT !
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Your Salesperson
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◄
Select "None / Don't Know" if unknown
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New or Returning Client ? |
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Type Of Purchase Today ? |
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Shipping / Contact Information
( All Products
marked in RED
must be filled out )
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Buying a Gift or need
your order shipped to another location?
Complete the section here with your information
and then supply us with the shipping information for
gift recipient at the bottom of section (Special Instructions) |
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Recipient or Company Name
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(Only if different from above)
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Shipping Address
1 :
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Shipping Address 2 :
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City
:
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State
:
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◄ If you Live Outside of the USA - Please
Enter XX For State
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Country
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If Other:
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Zip / Postal Code
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Primary Phone Number
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Ext.
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Cell Phone / Alternate Phone :
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Where will Products be used ? |
Other:
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Type of Shipping Requested ?
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Does your delivery location allow
for access by 18-Wheel Truck ? |
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Does this order need to be taken around the back of your
location ?
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Does this order need to be
delivered upstairs or downstairs ? |
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Is this order being shipped to an
alternate address, or as a gift ?
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(If Yes, enter gift or recipient
contact / shipping address in Special Instructions ↓) |
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Requested delivery date ?
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(Example:
ASAP, After 08/24/08, etc)
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You may request an approximate delivery date but trucking
firms cannot guarantee
a
specific delivery date in advance |
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Special Instructions
Notes or Special Requests or
Gift or Recipient Ship Information :
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▼ Proceed to the
Product Information Section below
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Why don't you have a automated shopping cart ?
When using automated shopping carts
to order
high-dollar, heavy Products, many carts do not provide the correct
shipping or option costs until after you have been billed.
To prevent this, we manually process all orders to confirm
all of your order / shipping details with you prior
to charging your credit card or invoicing you, to ensure order accuracy
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Product Information
( All Products marked in RED
must be filled out )
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Product Name : |
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Product Condition : |
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Product Price :
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(Optional - Price as shown on our website,
if known) |
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Include Extended Warranty ?
Click here for more information
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Extended Warranties
are offered on all new and
preowned
Video Games,
Pinballs, Jukeboxes, Dart Machines & Air Hockey Tables w / Electronic Scoring.
Our 2 / 4 Year Extended Warranties are
not valid for any type of commercial use.
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▼
If you are only ordering One Product today, proceed to
Payment Information section below
▼
Otherwise, enter the information for other Products you are purchasing below |
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Product 2 Name :
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Product Condition :
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Product Price (if known) :
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(Optional
- Price as shown on our website, if known) |
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Include Extended Warranty ?
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Product 3 Name :
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Product Condition :
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Product Price (if known) :
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(Optional - Price as
shown on our website, if known) |
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Include Extended Warranty ?
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Product 4 Name :
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Product Condition :
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Product Price (if known) :
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(Optional
- Price as shown on our website, if known) |
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Include Extended Warranty ?
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Product 5 Name :
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Product Condition :
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Product Price (if known) :
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(Optional - Price as shown on
our website, if known) |
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Include Extended Warranty ?
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Buying more than 5 Products?
Please list the exact name of all the
the additional Products you want here
and we will take care of all the rest !
Or please call us at
1-800-PINBALL |
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▼ Proceed to the
Payment Information Section below
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Payment Information
( All Products
marked in RED
must be filled out )
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Bonus !
Receive a
1% Instant
Order Discount on all
orders
paid with either
Check
or
Bank Wire Transfer
* 1% Order Discount apply to
products only. Check payments take from 2-7 days to clear our bank after
receiving them, and may
delay your order. Credit Cards payments accepted up to
$15,000 USD MAXIMUM for USA / Canadian Customers
Only |
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Payment Type :
:
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Online Discount /
Sale Coupon Code :
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( Enter discount coupon number or code,
if any ) |
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If you are paying by Credit Card today, please
complete the section below.
If you are not paying by
Credit Card, skip to
the "Submit Your Order"
button below
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