JFB Desktop Publishing

11550 S. Harlan Rd #30, Lathrop, CA, 95330-9730

Fax: 209) 983-0187, Voice (209) 983-0019

Locksmith Order Form

Fill out this order form and print it. Mail or fax it to me with proof that you are a practicing locksmith . Keep a copy for your records.

Name:

Address:


Ship to Above Address   Ship to Below Address

Ship To:


Payment Options: Mail with Cashier's Check
Mail with Personal Check ( wait for check to clear)
Pay by Credit Card


Credit Card:

 Visa
MasterCard
American Express
Discover

Card number : Expiration : Security code from back of card

Name on Credit Card:

Card Billing Address:

Home Phone with Area Code :

Day Phone with Area Code :    Fax Number:

E-mail :

Media 1.44 MB Disk or CD
DESCRIPTION Media PRICE QTY TOTAL
Blackhawk Products
Biaxial Master Keying $69.00 $
Medecode $59.00 $
KBX (Key Blank Cross Reference) $149.00 $
KBX DELUXE (Key Blank Cross Reference) $239.00 $
KBX EUROPE (Key Blank Cross Reference) $350.00 $
COD ( Codes on Disk - DOS) $399.00 $
COD ( Codes on Disk - Windows) $479.00 $
COD Update ( Update from DOS to Windows) $80.00 $
FILL (Fill the Combination) Windows $99.00 $
RMP (Reverse Master Padlock) DOS $49.00 $
PIN (Pin it Now!) Windows $59.00 $
Reverse Auto Codes (Windows) $119.00 $
Safe Combination Generator (Windows) $19.00 $
David House:
"The Complete Computerized Master Key System" 1.44 MB 3.5" Disk only $45.00 $
Other:
$
$
$
Sub Total $
Ca Residents add sales tax Sales Tax $
U.S .Shipping ( $7.50 / item up to a total of $30.00)
International $20.00 and up Depending on weight and destination
$
TOTAL $

We thank you for your support.

Signature:_______________________________