Innovation West Order Form

Order Form

Use this form to order any of our products. Fill out the information and send it with your check or money order to:

Innovation West

1933 S. Monterey Ave.

Ontario, CA 91761

E-Mail: Inovwest@aol.com

Last Name: ________________________ First: ___________________ Initial:______

Company: ____________________________________________________________

Address: ____________________________________________________________

City:______________________ State: ______________ZIP : ___________________

Phone : __________________FAX : _________________E-Mail:________________

How did you hear about us ?_____________________________________________

Subtotal $
California residents add 8.25% sales tax: $
Shipping and Handling $	6.00
Order Total $

Checks and money orders should be drawn on US Banks and made payable to David McQueen.