Road Rep Order Form

By Phone: (831) 655-9907
By Mail: Groundspace Corp. 1037 Rodeo Road Pebble Beach, CA 93953
By Fax: (831) 655-1829

Pricing Information

Item No. # of Copies Savings Price Ea S & H
RR 1 1 - $299.00 $10.00
RR 2 2-4 10% $269.00 $15.00
RR 3 5-9 20% $239.00 $20.00
RR 4 10-24 35% $194.00 $20.00
RR 5 25-50 50% $149.00 $30.00
For orders lager than 50 contact Groundspace for quote.

Ship To:                                                   Cost:

Name:__________________________________		Number of Copies ______________

Company:_______________________________		Cost             ______________

Address:_______________________________	        Tax (CA 7.25%)   _______________

City:_______________ State:____ Zip:_______     Shipping         _______________
											
Day Phone(____)________________________	        Total            _______________
												
Evening Phone(____)____________________		

Fax Number(____)_______________________

E-Mail Address_________________________

Method of Payment:

Payment Information:  Visa____  Mastercard____  AX____

Card#_________________________________________

Exp. Date:  Month____  Year____

______________________________________________
Print Name (exactly as shown on the card)

Signature:____________________________________