How to order:

• Print out this form.
• Fill in all of the necessary information.
• Write down which items you want from the on-line catalog.
• Then fax, phone, or mail your order to American Highrise, Inc.

Please print or type in the information below: Bill to: Ship to: Name: Email: Address: City: State: Zip: Phone: ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Name: Address: City: State: Zip: Phone: ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________   Description: Quantity: Unit Price:     Description: Quantity: Unit Price: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ We will calculate the total for you. Missouri residents add 7.225% sales tax. S&H will be added to all orders. Payment info: Make your check payable to: American Highrise, Inc. Mail check and order form to the address listed below. Allow 3 to 4 weeks for delivery To order by phone call: (417) 587-3192 9am - 6pm (CST) Mail to: American Highrise Foundation, Inc. 331 Alabaster Dr. Ozark, MO 65721 USA USA