At-Home Services
Parts & Supplies Order Form
Date_________________________________
Name________________________________
Company Name________________________
Shipping Address_______________________
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Daytime Phone_________________________
Email Address_________________________
Do not fill in, At-Home Services use only.
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Inventory Availability Yes No
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New Mexico Residents Only, Add 6.875%
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Orders $10.00 or less, $4.00 Shipping & Handling Orders $10.00-$35.00, $5.00 Shipping & Handling Orders over $35.00, Free Shipping!
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Send Check/MoneyOrder In this Amount To The Address Below
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Special Instructions
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Please properly package, insure, & ship your order (along with this form) to:
At-Home Services
PMB 124, 3301-R Coors Rd. NW
Albuquerque NM 87120-1229
Upon completion of work, you will receive email (or phone) notification detailing the total cost of your order and payment options. All
orders will be shipped promptly upon receipt of payment.
Phone & Email-505-255-6030/at-home-services@comcast.net