ORDER FORM

 SILESIA GROUP INC., 
P.O. BOX 763, ELFERS, FL 34680, USA
www.biznetmall.com, www.biznet1.com
TEL 1-800-6000-GO1 (461), 727-641-6709, FAX 1-866-395 -0966
NAME: _______________________________________
ADDRESS: ____________________________________
CITY: ________________________________________
STATE,PROVINCE:_______________ ZIP CODE:________________COUNTRY:_____________________________
PHONE: ______________________________________E-MAIL: _____________________________________
PRODUCT
QUANTITY
UNIT PRICE
TOTAL
SHIPPING
GRAND 
TOTAL
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TOTAL FOR 
ALL PRODUCTS
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*We deliver outside the U.S.A. with $100 minimum purchase *call or e-mail us for shipping and handling outside U.S.A. *All prices are in U.S. Fundsfor delivery in USA *Prices subject to change without notice

PLEASE MAKE PAYMENTS PAYABLE TO :

SILESIA GROUP INC

Special instructions/comments: ______________________________________ _____________________________________________________________________ _____________________________________________________________________

Please print this form and mail with payment to:

SILESIA GROUP INC., P.O. BOX 763, ELFERS, FL 34680, USA

THANK YOU FOR YOUR ORDERS!